DR. WALTER GREGORY KORYTOWSKY (NPI# 1043325632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043325632 |
| Entity Type | Individual |
| Full Name | DR. WALTER GREGORY KORYTOWSKY |
| Other Name | NONE NONE NONE |
| Credential | M.D. |
| Practice Address |
3333 Spring Arbor Rd Suite 400 Jackson MI 49203-8605 |
| Practice Telephone | 5177836435 |
| Practice Fax Number | 5177836347 |
| Mailing Telephone | 5177836435 |
| Mailing Fax Number | 5177836347 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301040841 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CHOICE/CARE NETWORK | P58275 | 01 |
| MI | PHP MICHIGAN | 0320049 | 01 |
| MI | BLUE CROSS BLUE SHIELD MI | 0703800982 | 01 |
| MI | 1570689 | 05 | |
| MA | MEDICAL LICENSE NUMBER | 4301040841 | 01 |
| Street Address |
3333 SPRING ARBOR RD SUITE 400 |
| City | JACKSON |
| State | MI |
| Zip Code | 49203-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696258 | Mary Ellen Tomac | Social Worker | 3333 Spring Arbor Rd, Ste 800, Jackson, MI 49203-8605 | 2005-08-22 |
| 1841646387 | Anne Louise Starr | Counselor | 3333 Spring Arbor Rd, Jackson, MI 49203-8605 | 2016-05-13 |
| 1497932081 | Patricia J Lafave P H D & Associates P C | Social Worker | 3333 Spring Arbor Rd, Suite 800, Jackson, MI 49203-8605 | 2008-01-25 |
| 1245362664 | Ralph Paul Keith | Psychologist | 3333 Spring Arbor Rd, Suite 800, Jackson, MI 49203 | 2007-03-12 |
| 1194851865 | Patricia L Lamb | Internal Medicine | 3333 Spring Arbor Rd, Suite 700, Jackson, MI 49203 | 2007-02-26 |
| 1902899974 | Patricia J Lafave | Psychologist | 3333 Spring Arbor Rd, Suite 800, Jackson, MI 49203-8605 | 2005-08-25 |
| 1013900901 | Megan Hudson | Psychologist | 3333 Spring Arbor Rd, Ste 800, Jackson, MI 49203-8605 | 2005-08-25 |
| 1124011192 | Cheryl Lafave Bassett | Social Worker | 3333 Spring Arbor Rd, Ste 800, Jackson, MI 49203-8605 | 2005-08-25 |
| 1972595239 | Judy Ann Mcnish | Social Worker | 3333 Spring Arbor Rd, Ste 800, Jackson, MI 49203-8605 | 2005-08-22 |
| 1265424535 | Karen L Harrison | Social Worker | 3333 Spring Arbor Rd, Ste 800, Jackson, MI 49203-8605 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900120 | Cynthia A Rider Dmd Pllc | Oral & Maxillofacial Surgery | 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 | 2017-09-06 |
| 1407224280 | Lucinda Gail Taggart | Licensed Practical Nurse | 1515 Greenwood Ave., Jackson, MI 49203 | 2015-09-10 |
| 1134514045 | Christopher Dauterman | Registered Nurse | 1320 East Mcdevitt, Jackson, MI 49203 | 2015-03-30 |
| 1710386826 | Steven Andrew Edwards | Social Worker | 505 Hickory Court, #2d, Jackson, MI 49203 | 2014-08-14 |
| 1861800666 | Michigan Continuum Care Pllc | Internal Medicine | 1310 Greenwood Ave., Jackson, MI 49203 | 2014-07-25 |
| 1497014831 | Barbara Cliffe-miller | Physical Therapist | 3510 Page Ave, Jackson, MI 49203 | 2012-05-04 |
| 1871822718 | Sharon Ann Arendsen | Respite Care | 4043 Clarkway Rd, Jackson, MI 49203 | 2009-12-23 |
| 1669700456 | Teresa Lynn Cox | Technician, Other | 3884 Franklin Rd., Jackson, MI 49203 | 2009-12-07 |
| 1942537097 | Stacy Marie Chinevere I | Counselor | 326 Johnson St, Jackson, MI 49203 | 2009-11-11 |
| 1366672370 | Sarah Elizabeth Hazlett | Counselor | 1522joy Avenue, Jackson, MI 49203 | 2009-07-24 |
| Find all providers in zip 49203 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427408319 | Advanced Dermatology of Wyoming, Inc | Dermatology | 62 South Redmond Street, Jackson, WY 83001-8664 | 2016-06-21 |
| 1871814095 | Elizabeth Anne Gordon Spratt | Dermatology | 3333 Spring Arbor Rd Ste 500, Jackson, MI 49203-8605 | 2010-06-22 |
| 1962644013 | Virginia Anne Koubek | Dermatology | 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 | 2009-04-02 |
| 1053532226 | Julie P Wyatt | Dermatology | 3000 Old Canton Rd Ste 430, Jackson, MS 39216 | 2007-05-02 |
| 1265653745 | Brittany Wilson Baker | Dermatology | 984 W Broadway, Suite 4, Jackson, WY 83001-0000 | 2007-05-01 |
| 1982705570 | Louis Julian Wise Jr. | Dermatology | 3000 Old Canton Road, Suite 430, Jackson, MS 39216 | 2006-09-26 |
| 1215940937 | Sterling Ruffin Craig | Dermatology | 2817 North Highland Avenue, Suite A, Jackson, TN 38305-1789 | 2006-08-14 |
| 1366459026 | Chemene Quinn | Dermatology | 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202-1650 | 2006-08-02 |
| 1609893296 | Kenneth R. Maloney | Dermatology | 294 Summar Drive, Jackson, TN 38301 | 2006-07-17 |
| 1720039423 | William P Teer | Dermatology | 1320 Union University Dr, Jackson, TN 38305-3780 | 2006-05-15 |
| Find all providers in JACKSON | ||||
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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.