KEITH E KORTMAN


Address: 8745 Aero Drive, Suite 200, San Diego, CA 92123-1174
Phone: 8585650950

KEITH E KORTMAN (NPI# 1942276332) 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) 1942276332
Entity Type Individual
Full Name KEITH E KORTMAN
Credential MD
Practice Address 8745 Aero Drive
Suite 200
San Diego
CA 92123-1174
Mailing Address Po Box 23540
San Diego
CA 92193-3540
Practice Telephone 8585650950
Practice Fax Number 8582441100
Mailing Telephone 8585650950
Mailing Fax Number 8582441100
Enumeration Date 2006-02-24
Last Update Date 2007-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
G48065 CA Allopathic & Osteopathic Physicians
N 2085N0700X Radiology
Specialization: Neuroradiology
G48065 CA Allopathic & Osteopathic Physicians
N 2085N0904X Radiology
Specialization: Nuclear Radiology
G48065 CA Allopathic & Osteopathic Physicians
N 2085P0229X Radiology
Specialization: Pediatric Radiology
G48065 CA Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
G48065 CA Allopathic & Osteopathic Physicians
N 2085R0203X Radiology
Specialization: Therapeutic Radiology
G48065 CA Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
G48065 CA Allopathic & Osteopathic Physicians
N 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
G48065 CA Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
G48065 CA Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
G48065 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0083815 05
CA ZZZ75341Z 05
CA GR0083817 05
CA GR0083811 05
CA GR0083813 05
CA GR0083812 05
CA GR0083814 05
CA GR0083816 05
CA GR0083810 05

Office Location

Street Address 8745 AERO DRIVE
SUITE 200
City SAN DIEGO
State CA
Zip Code 92123-1174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659341071 Patrick H Carey Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-01-26
1063448785 Christopher E Dory Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-06-24
1417994252 Shanoe Cutts Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-06-01
1356317747 Scott M Boles Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-02-24
1194799163 Melvin O Senac Jr. Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-02-15
1225002355 Robert C Yacullo Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-02-15
1497729446 Russell N Low Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-02-15
1972577922 William D Carter Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-02-15
1881668838 John A Amberg Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-02-15
1750355657 Clinton R Nichols Radiology 8745 Aero Drive, Suite 200, San Diego, CA 92123-1774 2006-02-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790208155 St. Jude Radiology Medical Group, Inc. Radiology 8070 Entrada De Luz E, San Diego, CA 92127-2561 2017-07-18
1225586423 Regional Diagnostic Imaging Radiology 3731 Torrey View Ct, San Diego, CA 92130-2623 2016-09-15
1093127680 William James Tom Radiology 200 West Arbor Drive, Mc 0834, San Diego, CA 92103-0834 2014-05-30
1649697947 Ashley Caitlin Altman Radiology Uc San Diego Health, 200 West Arbor Drive, Mc 8829, San Diego, CA 92103 2014-03-25
1477811693 Michele Christina Mcgahan Radiology 8745 Aero Drive #200, San Diego, CA 92193-3540 2012-04-25
1447557996 Luke R Scalcione Radiology 7540 Charmant Dr, Apt 1216, San Diego, CA 92122-5044 2011-02-18
1144537606 Jasmine Jamin Koo Radiology 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121-3758 2010-09-04
1265743595 David R Wallace Jr. Radiology 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 2010-07-01
1881837748 John Joseph Krol Radiology 11125 Red Cedar Dr, San Diego, CA 92131-1309 2009-04-08
1700022712 Thomas N. Folan Radiology 425 W Beech St Unit 1707, San Diego, CA 92101-2965 2008-12-22
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92123

Improve Information

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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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