Fulton C Kornack (NPI# 1407837651, PAC ID# 3577591841) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1407837651 |
| PAC ID by PECOS | 3577591841 |
| Professional Enrollment ID | I20050728000279 |
| Full Name | Fulton C Kornack |
| Organization Legal Name | ORTHOPAEDIC ASSOCIATES INC |
| Address |
1153 Centre St Suite 5c Jamaica Plain MA 02130-3446 |
| Phone Number | 6175229461 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4981632346 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220071 | MASSACHUSETTS GENERAL HOSPITAL |
| 220119 | FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S |
| Address | Phone | Organization |
|---|---|---|
| 1153 Centre St, Suite 5c, Jamaica Plain, MA 02130-3446 | 6175229461 | ORTHOPAEDIC ASSOCIATES INC |
| Organization Legal Name | ORTHOPAEDIC ASSOCIATES INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Derek S Shelton | Nurse Practitioner | Orthopaedic Associates Inc | 340 Starlite Dr, Henderson, KY 42420-6102 |
| Anthony P Czaplicki | Orthopedic Surgery | Orthopaedic Associates Inc | 4011 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 |
| Brooke N Kline | Physician Assistant | Orthopaedic Associates Inc | 4011 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 |
| Linda Y Mitchell | Physician Assistant | Orthopaedic Associates Inc | 4011 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 |
| Anthony E Webber | Orthopedic Surgery | Orthopaedic Associates Inc | 1153 Centre St, Suite 5c, Jamaica Plain, MA 02130-3446 |
| Marcus Maier | Physician Assistant | Orthopaedic Associates Inc | 4011 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 |
| Jared W Kiernicki | Physician Assistant | Orthopaedic Associates Inc | 4011 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 |
| Gary R Moore | Orthopedic Surgery | Orthopaedic Associates Inc | 4011 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 |
| Robert Vraney | Orthopedic Surgery | Orthopaedic Associates Inc | 4011 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 |
| Braden Jones | Orthopedic Surgery | Orthopaedic Associates Inc | 4011 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 |
| Street Address |
1153 CENTRE ST SUITE 5C |
| City | JAMAICA PLAIN |
| State | MA |
| Zip | 02130-3446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Lee | Internal Medicine | 1153 Centre St, Boston, MA 02130-3446 | |
| Staci Eisenberg | Internal Medicine | Brigham and Womens Physicians Organization Inc | 1153 Centre St, Jamaica Plain, MA 02130-3446 |
| Luis F Lobon | Emergency Medicine | Brigham and Womens Physicians Organization Inc | 1153 Centre St, Jamaica Plain, MA 02130-3446 |
| Brian E Mcgeeney | Neurology | Brigham and Womens Physicians Organization Inc | 1153 Centre St, Jamaica Plain, MA 02130-3446 |
| Malavalli A Gopal | Cardiovascular Disease (cardiology) | 1153 Centre St, Jamaica Plain, MA 02130-3446 | |
| John A. Fromson | Psychiatry | Brigham and Womens Physicians Organization Inc | 1153 Centre St, Jamaica Plain, MA 02130-3446 |
| Alene Conant | Gastroenterology | Brigham and Womens Physicians Organization Inc | 1153 Centre St, Jamaica Plain, MA 02130-3446 |
| Daniel S Matloff | Gastroenterology | Brigham and Womens Physicians Organization Inc | 1153 Centre St, Jamaica Plain, MA 02130-3446 |
| Joseph Kopp | Emergency Medicine | Brigham and Womens Physicians Organization Inc | 1153 Centre St, Jamaica Plain, MA 02130-3446 |
| Julie Steller | Nurse Practitioner | Brigham and Womens Physicians Organization Inc | 1153 Centre St, Jamaica Plain, MA 02130-3446 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward V Chavez | Chiropractic | 363 C Centre St, Jamaica Plain, MA 02130-1240 | |
| Lucy L Fisher | Clinical Social Worker | Family Service Association of Greater Boston | 31 Heath St, Jamaica Plain, MA 02130-1650 |
| Judith A Karpinski | Clinical Social Worker | Family Service Association of Greater Boston | 31 Heath St, Jamaica Plain, MA 02130-1650 |
| Beth S Clingman | Clinical Social Worker | Family Service Association of Greater Boston | 31 Heath St, Jamaica Plain, MA 02130-1650 |
| Thomas J Mercurio | Chiropractic | 512 Centre St, Jamaica Plain, MA 02130-2002 | |
| Deborah R Erlich | Family Medicine | Medical Care of Boston Management Corporation | 545 A Centre St, Jamaica Plain, MA 02130-2061 |
| Yana Antonellis | Nurse Practitioner | Medical Care of Boston Management Corporation | 545 A Centre St, Jamaica Plain, MA 02130-2061 |
| Alexandra I Dziama | Nurse Practitioner | Medical Care of Boston Management Corporation | 545 A Centre St, Jamaica Plain, MA 02130-2061 |
| Laura C Reis | Family Medicine | Medical Care of Boston Management Corporation | 545 A Centre St, Jamaica Plain, MA 02130-2061 |
| Arturo Villarreal Verdecia | Internal Medicine | Arbour Inc | 49 Robinwood Ave, Boston, MA 02130-2156 |
| Find all physicians in zip 02130 | |||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | JAMAICA PLAIN + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Fulton C Kornack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.