MICHAEL DAVIN KORNBERG (NPI# 1063742856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063742856 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVIN KORNBERG |
| Credential | M.D., PH.D. |
| Practice Address |
1800 Orleans St Zayed 6005 Baltimore MD 21287-0010 |
| Mailing Address |
600 N. Wolfe Street Pathology 627 Baltimore MD 21287 |
| Practice Telephone | 4109556626 |
| Mailing Telephone | 4106141096 |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D0078931 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174786834 | Michael Kornberg | Psychiatry & Neurology | 12625 High Bluff Dr, Suite 305, San Diego, CA 92130-2052 | 2008-07-03 |
| Street Address |
1800 ORLEANS ST ZAYED 6005 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337820 | Esther Ocampo Ousborne | Specialist | 1800 Orleans St, Baltimore, MD 21287 | 2005-06-28 |
| 1174123970 | Mary Catherine Heflin | Registered Nurse | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-30 |
| 1982203766 | Kemisola Ayiloge | Social Worker | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-22 |
| 1356949960 | Lisa Klein | Clinical Nurse Specialist | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-15 |
| 1306444534 | Margaret Marcelli | Social Worker | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-09 |
| 1992302095 | Olivia Ruth Leasher | Physician Assistant | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-10-02 |
| 1255946489 | Ashleigh N. Boidock | Nurse Practitioner | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-09-14 |
| 1285249599 | Carmen Nina Molinaro | Nurse Practitioner | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-09-14 |
| 1477168961 | Alexandra Istl | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-09-10 |
| 1942814660 | Cindy Hwang | Dietitian, Registered | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
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| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740726942 | George Oyler | Psychiatry & Neurology | 2924 Guilford Ave, Baltimore, MD 21218-4115 | 2017-01-11 |
| 1134672918 | Anne Damian Yacoub | Psychiatry & Neurology | 600 N Wolfe St Rm 627, Baltimore, MD 21287-0005 | 2016-07-28 |
| 1386038552 | Jumana Tariq A Alshaikh | Psychiatry & Neurology | 601 N Caroline St # 5064, Baltimore, MD 21287-0006 | 2015-03-25 |
| 1912391327 | Daniel Isaac Feldman | Psychiatry & Neurology | 4940 Eastern Ave., 301 Building, Suite 1201, Baltimore, MD 21224 | 2015-03-24 |
| 1184013633 | Kemar Green Green | Psychiatry & Neurology | 600 N Wolfe St Rm 2210, Baltimore, MD 21287-0005 | 2015-01-21 |
| 1396144093 | Peter Hui Jin | Psychiatry & Neurology | 16 S Eutaw St Ste 300, Baltimore, MD 21201-1698 | 2014-08-19 |
| 1396155842 | American Psychiatry Neurology and Sleep Medicine | Psychiatry & Neurology | 2205 Rogene Dr, #101, Baltimore, MD 21209-3443 | 2014-05-06 |
| 1063831493 | Megan Viereck Margiotta | Psychiatry & Neurology | 110 S Paca St # 3-125, Baltimore, MD 21201-1642 | 2014-04-14 |
| 1598183311 | Mark Leekoff | Psychiatry & Neurology | 16 S Eutaw St Fl 3, Baltimore, MD 21201-1606 | 2014-03-29 |
| 1689012312 | Haroon Zafar Ahmad | Psychiatry & Neurology | 110 S Paca St # 3-s125, Baltimore, MD 21201-1642 | 2013-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.