DR. GORDON J KORBY (NPI# 1801826953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801826953 |
| Entity Type | Individual |
| Full Name | DR. GORDON J KORBY |
| Credential | D.O,, D.C |
| Practice Address |
1021 Country Club Rd Ste B Columbus OH 43213-2484 |
| Practice Telephone | 6147627312 |
| Practice Fax Number | 8885512775 |
| Mailing Telephone | 6147627312 |
| Mailing Fax Number | 8885512775 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
34-006814 | OH | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
34-006814 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2067445 | 05 |
| Street Address |
1021 COUNTRY CLUB RD STE B |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-2484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770578486 | Jumana Camille Giragos | Pediatrics | 1021 Country Club Rd, Suite A, Columbus, OH 43213-2470 | 2005-09-19 |
| 1376885020 | James David Ward | Pediatrics | 1021 Country Club Rd, Suite A, Columbus, OH 43213-2479 | 2013-03-20 |
| 1306183538 | Preferred Center for Integrative Medicine LLC | Anesthesiology | 1021 Country Club Rd, Suite B, Columbus, OH 43213 | 2013-01-08 |
| 1821312463 | Erin Leigh Goist | Pediatrics | 1021 Country Club Rd, Columbus, OH 43213-2479 | 2010-03-25 |
| 1235392275 | Kathleen Degroft Blake | Pediatrics | 1021 Country Club Rd, Suite A Pediatric Associates Inc, Columbus, OH 43213 | 2008-07-09 |
| 1093976441 | Olivia Noelle Westhoven | Pediatrics | 1021 Country Club Rd, Suite A, Columbus, OH 43213-2479 | 2008-06-18 |
| 1215124789 | Associates In Central Ohio Obstetrices & Gynecology, Inc. | Clinic/Center | 1021 Country Club Rd, Suite B, Columbus, OH 43213-2470 | 2007-09-28 |
| 1396731741 | Robert Thomas Lee | Pediatrics | 1021 Country Club Rd, Suite A, Columbus, OH 43213-2470 | 2005-09-21 |
| 1457346090 | Pediatric Assoicates, Inc. | Pediatrics | 1021 Country Club Rd, Suite A, Columbus, OH 43213-2470 | 2005-09-20 |
| 1801881529 | Ann Marie Croft | Pediatrics | 1021 Country Club Rd, Suite A, Columbus, OH 43213-2470 | 2005-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
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| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043394810 | Sandra K Kostyk | Physical Medicine & Rehabilitation | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700098811 | Mid-ohio Valley Physical Medicine | Physical Medicine & Rehabilitation | 400 Matthew Street, Suite 306, Marietta, OH 45750 | 2007-05-03 |
| 1194770453 | David B Shuster | Physical Medicine & Rehabilitation | 580 Lincoln Park Blvd Ste 255, Kettering, OH 45429-3493 | 2006-05-24 |
| 1740697986 | Nina Carmela Rosales Tamayo | Physical Medicine & Rehabilitation | 8551 Darrow Rd, Twinsburg, OH 44087-2311 | 2014-07-21 |
| 1073716809 | Mary Kristina Henzel | Physical Medicine & Rehabilitation | 10701 East Blvd, Louis Stokes Cleveland Va Medical Center, 128(w), Cleveland, OH 44106-1702 | 2007-06-08 |
| 1750584421 | Steven W Brose | Physical Medicine & Rehabilitation | 10701 East Blvd, Spinal Cord Injury Service, Cleveland, OH 44106-1702 | 2007-06-08 |
| 1144399635 | Shamsi Lashgari-saegh | Physical Medicine & Rehabilitation | 10701 East Blvd, Cleveland, OH 44106-1702 | 2006-11-07 |
| 1134131113 | Robert Louis Ruff | Physical Medicine & Rehabilitation | 10701 East Blvd, Louis Stokes Cleveland Vamc, Neurology Svc. 127(w), Cleveland, OH 44106-1702 | 2006-08-11 |
| 1831100304 | Chester H Ho | Physical Medicine & Rehabilitation | 10701 East Blvd, Sci 128w, Cleveland, OH 44106-1702 | 2006-08-10 |
| 1306870266 | Melvin S Mejia | Physical Medicine & Rehabilitation | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-07-10 |
| 1245262161 | Gregory A Nemunaitis | Physical Medicine & Rehabilitation | 2500 Metrohealth Dr, Mhmc-pm&r, Cleveland, OH 44109-1900 | 2006-07-07 |
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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.