MATTHEW THOMAS KOROSCIL


Address: 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529
Phone: 2109162153

MATTHEW THOMAS KOROSCIL (NPI# 1518224872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518224872
Entity Type Individual
Full Name MATTHEW THOMAS KOROSCIL
Credential M.D.
Practice Address 4881 Sugar Maple Dr Bldg 830
Wright Patterson Afb
OH 45433-5529
Practice Telephone 2109162153
Practice Fax Number 2109160709
Enumeration Date 2012-04-11
Last Update Date 2019-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
35135125 OH Allopathic & Osteopathic Physicians
N 208D00000X General Practice 0101255503 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 4881 SUGAR MAPLE DR BLDG 830
City WRIGHT PATTERSON AFB
State OH
Zip Code 45433-5529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588645428 Steven Lawrence Pope Nurse Anesthetist, Certified Registered 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2005-11-08
1225595879 Beverley Sue Knight-stukenborg Social Worker 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2019-03-01
1528460219 Sarah R Dekoski Physician Assistant 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2014-09-24
1417367285 Nicholas Sousaris Radiology 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2014-05-02
1487071957 Luke Menner Internal Medicine 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2014-03-24
1487078887 David Geottman Internal Medicine 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2014-02-06
1356696595 Christopher Robert Wild Student in an Organized Health Care Education/Training Program 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2012-07-13
1053632000 Melissa Candella Holt Dentist 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2010-06-14
1114129426 Denise A Lockhart Dietitian, Registered 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2007-05-31
1033285200 Matthew Ray Doubrava Preventive Medicine 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433-5529 2006-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891289518 Sara Lyons Physician Assistant 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 2018-06-16
1073001558 Mega Margapuram Student in an Organized Health Care Education/Training Program 1 Sugar Maple Drive, Dayton, OH 45433 2018-04-30
1437667979 Michael Peter Dring Social Worker Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 2018-01-18
1316486814 Josiah Hardin Internal Medicine 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 2017-02-16
1780137380 Allison Osterfeld Pharmacist 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 2016-07-29
1891144283 Kyle Harris Student in an Organized Health Care Education/Training Program 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 2016-06-07
1245601756 Nichole Griep Audiologist 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 2015-10-09
1487021267 Melanie Schaffer Dietitian, Registered 4881 Sugamaple Drive, Wpafb, OH 45433 2015-08-27
1831582261 Joseph K Wray General Practice 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 2015-03-10
1659798031 Maninder Kaur Nurse Practitioner 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 2014-03-24
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164405247 John Patrick Mitchell Internal Medicine 4881 Sugar Maple Dr, Mdos/sgo, Wright Patterson Afb, OH 45433-5546 2005-11-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326672171 National Lung and Sleep Medicine LLC Internal Medicine 1695 Big Bear Dr, Centerville, OH 45458-3692 2020-03-02
1588225932 Summa Physicians Inc Internal Medicine 1700 Boettler Rd Ste 250, Uniontown, OH 44685-6211 2019-06-26
1144726605 Venkataramanaiah Pulivarthi Internal Medicine 7976 Ravine Run Ln, Columbus, OH 43235-6454 2018-04-03
1407378409 Francisco A. Mateo, M.d. Inc. Internal Medicine 2094 E State St Ste G, Salem, OH 44460-4409 2017-07-11
1134520992 Eduardo Caspe Casalmir Internal Medicine 1551 Shore Woods Dr, Dayton, OH 45459-1474 2014-09-11
1215359807 William Schlechter Internal Medicine 7056 Royalgreen Dr, Cincinnati, OH 45244-3621 2014-01-15
1174814271 Morisetty Medical Associates, Inc. Internal Medicine 1 Ross Park Blvd Ste G-3, Steubenville, OH 43952-2681 2011-04-22
1053636944 Tejinder Singh Bal Internal Medicine 3642 Tippecanoe Pl, Canfield, OH 44406-9531 2010-04-02
1902131071 Michael William Craig Internal Medicine 4482 Blairgowrie Cir, Dayton, OH 45429-1853 2009-10-07
1518195478 Integrated Health Services Management Internal Medicine 6820 Ridge Rd Ste 204, Parma, OH 44129-5647 2009-06-30
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Competitor

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City WRIGHT PATTERSON AFB
Zip Code 45433

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Dataset Information

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.

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