MR. ERIC RICHARD KORZEN (NPI# 1275777948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275777948 |
| Entity Type | Individual |
| Full Name | MR. ERIC RICHARD KORZEN |
| Credential | PA-C |
| Practice Address |
300 Twining St Bldg 760 Maxwell Afb AL 36112 |
| Mailing Address |
300 Twining St Bldg 760 Montgomery AL 36112-6027 |
| Practice Telephone | 3349533368 |
| Practice Fax Number | 3349538607 |
| Mailing Telephone | 3349533368 |
| Mailing Fax Number | 3349538607 |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1268 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 TWINING ST BLDG 760 |
| City | MAXWELL AFB |
| State | AL |
| Zip Code | 36112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690157 | Shari-jean L. V. Hafner | Student in an Organized Health Care Education/Training Program | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-03-26 |
| 1306304589 | Aillen Ford | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-03-07 |
| 1538626254 | Jamie Nicole Wilson | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-02-28 |
| 1770066912 | Sabrina Carter | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2018-09-13 |
| 1437636537 | Kristine Gale Sweeney | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2018-07-23 |
| 1295261865 | Jennifer Renee Lewis | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2017-05-02 |
| 1811441272 | Shana Dawson | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2016-08-15 |
| 1588012298 | Andrew John Jurovcik | Family Medicine | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2016-06-03 |
| 1578946240 | You Xu | Student in an Organized Health Care Education/Training Program | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2015-06-30 |
| 1114309143 | Lori Dawn Carver | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033179700 | Cynthia M Theobald | Physician Assistant | 42d Medical Group, 300 Twining St., Bldg 760, Maxwell Afb, AL 36112 | 2006-03-25 |
| 1538626254 | Jamie Nicole Wilson | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-02-28 |
| 1295261865 | Jennifer Renee Lewis | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679295 | Maltiece O'neal El | Physician Assistant | 1331 14th Ave S Apt 12, Birmingham, AL 35205-5341 | 2020-11-02 |
| 1578170189 | Emily Klae Carnes | Physician Assistant | 102 Breezy Pointe Ln, Huntsville, AL 35811-4604 | 2020-09-28 |
| 1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
| 1437769981 | Kelsey Marie Robinson | Physician Assistant | 2400 Mahaska Dr, Birmingham, AL 35244-2241 | 2020-08-08 |
| 1235749276 | Danna Self | Physician Assistant | 7848 Shriner Dr, Pinson, AL 35126-2416 | 2020-08-04 |
| 1831716265 | Joseph Wayne Pough | Physician Assistant | 6711 Moffett Rd, Mobile, AL 36618-4413 | 2020-07-01 |
| 1619591922 | Alec Weil | Physician Assistant | 1400 19th St S, Birmingham, AL 35205-4903 | 2020-06-02 |
| 1689293888 | Molly Lynn Miller | Physician Assistant | 619 19th St S Fl 6, Birmingham, AL 35249-1900 | 2020-04-09 |
| 1710516208 | Dnika C Joseph | Physician Assistant | 255 Three Sons Dr, Hoover, AL 35226-2952 | 2020-04-06 |
| 1861021552 | Zachary Beau Jones | Physician Assistant | 6701 Dickens Ferry Rd Apt 15, Mobile, AL 36608-3969 | 2020-04-04 |
| Find all providers with the same taxonomy | ||||
| City | MAXWELL AFB |
| Zip Code | 36112 |
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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.