POTHEN KORUTH MD LLC (NPI# 1154599132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154599132 |
| Entity Type | Organization |
| Organization Name | POTHEN KORUTH MD LLC |
| Practice Address |
758 N Sun Dr Lake Mary FL 32746-2599 |
| Practice Telephone | 4073333303 |
| Practice Fax Number | 4073333342 |
| Mailing Telephone | 4073333303 |
| Mailing Fax Number | 4073333342 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | CAROLYN VICTORIA BROWN (OFFICE MANAGER) |
| Authorized Official Telephone | 4073333303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
758 N SUN DR |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650576 | Ehteram Raissi-fard | Pediatrics | 758 N Sun Dr, Lake Mary, FL 32746-2599 | 2005-09-23 |
| 1053847616 | Asia Marie Cherico | Occupational Therapy Assistant | 758 N Sun Dr, Lake Mary, FL 32746-2599 | 2017-05-02 |
| 1316338049 | Alesie Martel | Speech-Language Pathologist | 758 N Sun Dr, Lake Mary, FL 32746-2599 | 2015-02-17 |
| 1497881452 | Conrad B Dancy | Chiropractor | 758 N Sun Dr, Suite 112, Lake Mary, FL 32746-2599 | 2007-02-26 |
| 1144244625 | Zia Fatemi | Personal Emergency Response Attendant | 758 N Sun Dr, Suite #104, Lake Mary, FL 32746-2599 | 2006-07-27 |
| 1891727434 | Farideh A Arbabzadeh | Personal Emergency Response Attendant | 758 N Sun Dr, Suite# 104, Lake Mary, FL 32746-2599 | 2006-07-06 |
| 1811925407 | Magaly Gonzalez Poppell | Dentist | 758 N Sun Dr, Suite 100, Lake Mary, FL 32746-2599 | 2006-06-30 |
| 1093768400 | Pothen C Koruth | Specialist | 758 N Sun Dr, St # 104, Lake Mary, FL 32746-2599 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043602865 | Turningpoint Heathcare Solutions, LLC | Exclusive Provider Organization | 1000 Primera Blvd Ste 3160, Lake Mary, FL 32746-2194 | 2015-03-03 |
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| 1164040598 | Ito Medical, LLC | Exclusive Provider Organization | 79 Sw 12th St Apt 1511, Miami, FL 33130-5203 | 2020-07-13 |
| 1588292882 | Clarity Dx, Inc. | Exclusive Provider Organization | 1111 Latta Ln, Orlando, FL 32804-6335 | 2020-03-31 |
| 1871126102 | First Harbour Health Management, LLC | Exclusive Provider Organization | 7320 Delainey Ct, Lakewood Ranch, FL 34240-8445 | 2020-02-14 |
| 1295378271 | Community Health Services, Inc | Exclusive Provider Organization | 15315 Nw 60th Ave Ste E, Miami Lakes, FL 33014-2440 | 2019-10-23 |
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1851943591 | Attesor Mso LLC | Exclusive Provider Organization | 3350 Sw 148th Ave Ste 146, Miramar, FL 33027-3257 | 2019-07-12 |
| 1225690563 | Annie Saika Lucien | Exclusive Provider Organization | 2341 Nw 38th Ter, Lauderdale Lakes, FL 33311-2650 | 2019-07-08 |
| 1548728397 | Power Md Mso LLC | Exclusive Provider Organization | 4000 N 37th Ave, Hollywood, FL 33021-1927 | 2019-03-11 |
| 1023575495 | Premiermd Sim, LLC | Exclusive Provider Organization | 3465 Galt Ocean Dr Ste 203, Ft Lauderdale, FL 33308-7077 | 2019-02-21 |
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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.