DR. MICHAEL JOHN KORIWCHAK (NPI# 1720085756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720085756 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN KORIWCHAK |
| Credential | M.D. |
| Practice Address |
5673 Peachtree Dunwoody Rd Ste 150 Atlanta GA 30342-1731 |
| Practice Telephone | 4042971780 |
| Practice Fax Number | 4042527255 |
| Mailing Telephone | 4042971780 |
| Mailing Fax Number | 4042527255 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 040130 | GA | Allopathic & Osteopathic Physicians |
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
040130 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CIGNA | 8306705 | 01 |
| GA | 00663935AF | 05 | |
| GA | BCBS OF GEORGIA | 52448442 | 01 |
| GA | AETNA | 5576015 | 01 |
| Street Address |
5673 PEACHTREE DUNWOODY RD STE 150 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813379 | Peter Jay Abramson | Otolaryngology | 5673 Peachtree Dunwoody Rd, Ste 150, Atlanta, GA 30342-1771 | 2005-07-01 |
| 1689183097 | Vicki Johnson Green | Nurse Practitioner | 5673 Peachtree Dunwoody Rd, Atlanta, GA 30342-1731 | 2017-09-28 |
| 1760922686 | Michelle Soojung Hong | Nurse Practitioner | 5673 Peachtree Dunwoody Rd, Suite 775, Atlanta, GA 30342-1731 | 2017-02-24 |
| 1205291408 | Stephanie Henke | Nurse Practitioner | 5673 Peachtree Dunwoody Rd, Suite 825, Atlanta, GA 30342-1731 | 2015-12-15 |
| 1801269394 | Rebecca I Myles | Physician Assistant | 5673 Peachtree Dunwoody Rd, Suite 850, Atlanta, GA 30342-1731 | 2015-11-05 |
| 1366820276 | Advanced Hearing, LLC | Audiologist-Hearing Aid Fitter | 5673 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1731 | 2015-05-12 |
| 1225421928 | Blue Sky Surgical Assistants, LLC | Physician Assistant | 5673 Peachtree Dunwoody Rd, Suite 880, Atlanta, GA 30342-1731 | 2015-03-05 |
| 1932517331 | Laura Jean Ramirez | Audiologist | 5673 Peachtree Dunwoody Rd, Suite 150, Atlanta, GA 30342-1731 | 2014-07-29 |
| 1700296258 | Allison Malafronte | Registered Nurse | 5673 Peachtree Dunwoody Rd, Suite 675, Atlanta, GA 30342-1731 | 2014-05-06 |
| 1467870402 | Alexis Jarvis | Specialist/Technologist | 5673 Peachtree Dunwoody Rd, Atlanta, GA 30342-1731 | 2014-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376928069 | Wiley A. Parker M.d PC | Otolaryngology | 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 | 2015-07-23 |
| 1730576638 | Mark Arnold | Otolaryngology | 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 | 2015-04-20 |
| 1750709770 | Paul Pedram Daraei | Otolaryngology | 6085 Barfield Rd Ste 100, Atlanta, GA 30328-4403 | 2014-04-07 |
| 1588906739 | Zhong Zheng | Otolaryngology | 2061 Peachtree Rd Nw Suite 300, Atlanta, GA 30363 | 2013-03-25 |
| 1932447208 | David Max Cohen | Otolaryngology | 3431 W Paces Ferry Ct Nw, Atlanta, GA 30327-2228 | 2013-01-22 |
| 1669739793 | Lori Michele Guillot | Otolaryngology | 5461 Meridian Mark Rd Ste 130, Atlanta, GA 30342 | 2012-04-13 |
| 1801186192 | Lauren Luk | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Emory University Hospital Midtown, Dept of Otolarngol., Atlanta, GA 30308 | 2011-04-08 |
| 1063567469 | Khuong V Nguyen | Otolaryngology | 4337 Buford Hwy, Ste 200, Atlanta, GA 30341-5044 | 2007-01-24 |
| 1730116161 | Daniel G Carothers | Otolaryngology | 2140 Peachtree Rd Nw Ste 360, Atlanta, GA 30309-1316 | 2006-06-28 |
| 1053348060 | Sarah K Wise | Otolaryngology | Emory Department of Otolaryngology, 1365a Clifton Road Ne, Suite A2300, Atlanta, GA 30322-0001 | 2006-06-26 |
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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.