MR. DAVID MICHAEL KORKOWSKI (NPI# 1710311659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710311659 |
| Entity Type | Individual |
| Full Name | MR. DAVID MICHAEL KORKOWSKI |
| Credential | MLT (ASCP) |
| Practice Address |
107 H Street East Poplar MT 59255-0067 |
| Practice Telephone | 4067683491 |
| Practice Fax Number | 4067683435 |
| Mailing Telephone | 4067683491 |
| Mailing Fax Number | 4067683435 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
107 H STREET EAST |
| City | POPLAR |
| State | MT |
| Zip Code | 59255-0067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851352736 | Connie M Sherer | Nurse Practitioner | 107 H Street East, Poplar, MT 59255-0067 | 2006-03-30 |
| 1821570599 | Glenna S Thompson | Dental Hygienist | 107 H Street East, Poplar, MT 59255-0067 | 2018-08-30 |
| 1407257215 | Virginia Nicholas | Registered Nurse | 107 H Street East, Poplar, MT 59255-0067 | 2014-09-11 |
| 1306272539 | Rachel De Ryan | Specialist/Technologist, Other | 107 H Street East, Poplar, MT 59255-0067 | 2013-09-19 |
| 1821420944 | Sherri Lynn Noonan | Registered Nurse | 107 H Street East, Poplar, MT 59255-0067 | 2013-07-31 |
| 1962842344 | Denys L Hanto | Registered Nurse | 107 H Street East, Poplar, MT 59255-0067 | 2013-06-28 |
| 1336587740 | Sandra Slay Poyner | Pathology | 107 H Street East, Box 67, Poplar, MT 59255-0067 | 2013-06-07 |
| 1801234257 | Terese Ann Ogrinc-paulus | Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-06-07 |
| 1588007959 | Mark Wray Korman | Spec/Tech, Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-04-16 |
| 1679823421 | Karen Elizabeth Haire | Technician, Pathology | 107 H Street East, Dphhs-ihs, Poplar, MT 59255-0067 | 2012-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200178 | Christine Bauer | Dietitian, Registered | 417 13th Avenue East, Poplar, MT 59255 | 2018-10-08 |
| 1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
| 1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
| 1053858001 | Madonna Mcconnell | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-01-30 |
| 1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
| 1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
| 1366898181 | Rachel Hawker | Respiratory Therapist, Registered | 417 East 13th, Poplar, MT 59255 | 2016-05-11 |
| 1144623133 | Jennifer Tolman | Dental Hygienist | 417 13th Ave E, Poplar, MT 59255 | 2014-10-03 |
| 1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
| 1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
| Find all providers in zip 59255 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336587740 | Sandra Slay Poyner | Pathology | 107 H Street East, Box 67, Poplar, MT 59255-0067 | 2013-06-07 |
| 1801234257 | Terese Ann Ogrinc-paulus | Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821316 | Community Counseling and Correctional Services Inc | Pathology | 200 S Clark St, Butte, MT 59701-1500 | 2018-12-04 |
| 1114326691 | Jeff Waters | Pathology | 2809 Great Northern Loop, #200, Missoula, MT 59808-1749 | 2014-08-20 |
| 1326447814 | Jodine Tarbert | Pathology | 2809 Great Northern Loop, #200, Missoula, MT 59808-1749 | 2014-08-20 |
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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.