MR. R KIM KORNHAUS (NPI# 1376524892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376524892 |
| Entity Type | Individual |
| Full Name | MR. R KIM KORNHAUS |
| Credential | MD |
| Practice Address |
4907a Dalbey Lane Berlin OH 44610 |
| Mailing Address |
Po Box 366 Berlin OH 44610-0366 |
| Practice Telephone | 3308932341 |
| Practice Fax Number | 3308933027 |
| Mailing Telephone | 3308932341 |
| Mailing Fax Number | 3308933027 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35066090 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0184250 | 05 |
| Street Address |
4907A DALBEY LANE |
| City | BERLIN |
| State | OH |
| Zip Code | 44610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201666 | Maurice W Stutzman | Family Medicine | 4907a Dalbey Lane, Berlin, OH 44610 | 2005-11-10 |
| 1689115784 | Whitney Michelle Hofstetter | Nurse Practitioner | 4907a Dalbey Lane, Berlin, OH 44610-4461 | 2017-03-09 |
| 1144531948 | Zachary T Boyd | Family Medicine | 4907a Dalbey Lane, Berlin, OH 44610-1240 | 2010-06-25 |
| 1104808880 | Jon E. Miller | Family Medicine | 4907a Dalbey Lane, Berlin, OH 44610 | 2005-11-17 |
| 1386625804 | Kim E Boyd | Family Medicine | 4907a Dalbey Lane, Berlin, OH 44610 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727043 | Peak Physical Therapy & Wellness LLC | Clinic/Center | 4805 East Main Street, Berlin, OH 44610 | 2019-02-21 |
| 1205224847 | Jacqueline Mullet | Speech-Language Pathologist | 6108 County Road 77, Berlin, OH 44610 | 2015-01-06 |
| 1437427499 | Tammi Kim Snow | Registered Nurse | 4973 West Main St, Berlin, OH 44610 | 2011-12-06 |
| 1730362716 | Pomerene Express Care | General Practice | 4900 Oak Street, Berlin, OH 44610 | 2007-12-12 |
| 1700079902 | Debra Lyn Mullet | Pharmacist | 4912 Maple Street, Berlin, OH 44610 | 2007-08-21 |
| 1578760831 | East Holmes Local Schools | Local Education Agency (LEA) | 6108 Co Rd 77, Berlin, OH 44610 | 2007-06-29 |
| 1528105871 | Christine Diane Miller | Chiropractor | 4585 State Rt 39, Suite C, Berlin, OH 44610 | 2007-01-30 |
| 1861580003 | Robert Charles Raebel | Pharmacist | 4925 West Main St, Berlin, OH 44610 | 2006-10-11 |
| 1902995921 | Rodney Ray Mast | Pharmacist | 4925 West Main Street, Berlin, OH 44610 | 2006-10-11 |
| 1215024179 | Sharon Riley | Counselor | Hummel Bldg, Us Rt 39, Berlin, OH 44610 | 2006-10-10 |
| Find all providers in zip 44610 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179400 | Justin Cherng Chuang | Family Medicine | Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 | 2016-04-12 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1841587839 | Brian L Rodriguez | Family Medicine | 130 Fisher Rd., Ste. #3-1, Fahc-berlin Family Practice, Berlin, VT 05602 | 2011-06-29 |
| 1134428105 | Community Health Network | Family Medicine | W832 State Road 91, Ste 3, Berlin, WI 54923-8821 | 2011-03-16 |
| 1801038260 | Peninsula Regional Medical Center | Family Medicine | 10445 Ocean City Blvd, Unit #1, Berlin, MD 21811 | 2009-04-01 |
| 1306016050 | Atco Family Medical Associates, PC | Family Medicine | 10 Gardens Avenue, Berlin, NJ 08009-2104 | 2008-03-10 |
| 1336325596 | Jill E. Moorcroft | Family Medicine | 279 New Britain Rd, #6, Origins of Health, LLC, Berlin, CT 06037 | 2008-01-17 |
| 1902087190 | Richard Andrews Crandall IIi | Family Medicine | 1093 Brookfield Rd, Berlin, VT 05602-9065 | 2007-11-16 |
| 1174635536 | Angela L Gibbs | Family Medicine | 11200 Racetrack Rd, Ste A104, Berlin, MD 21811-3809 | 2006-08-31 |
| 1053347708 | Jennifer Brennan Bamford | Family Medicine | 130 Fisher Rd., Uvm Medical Center - Fm/berlin, Berlin, VT 05602 | 2006-06-24 |
| Find all providers in BERLIN | ||||
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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.