Kristopher P Korsakoff (NPI# 1174589246, PAC ID# 8022059732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1174589246 |
| PAC ID by PECOS | 8022059732 |
| Professional Enrollment ID | I20050512000600 |
| Full Name | Kristopher P Korsakoff |
| Organization Legal Name | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| Address |
15 Maple Ave Warwick NY 10990-1028 |
| Phone Number | 8459862276 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1999 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658262084 |
| Number of Group Practice Members | 164 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330135 | BON SECOURS COMMUNITY HOSPITAL |
| 330205 | ST ANTHONY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 161 E Main St, Suite 300 301, Port Jervis, NY 12771-2113 | 8458563812 | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| 15 Maple Ave, Warwick, NY 10990-1028 | 8459862276 | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| Organization Legal Name | BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C. |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthi Senra | Family Medicine | Bon Secours Charity Health System Medical Group, P.C. | 27 Liberty Square Mall, Stony Point, NY 10980-2400 |
| Lisa Hirsch | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 26 Firemens Memorial Dr, Pomona, NY 10970-3553 |
| Alicia Olmoz | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 255 Lafayette Ave, Suffern, NY 10901-4812 |
| Sanju Varghese | Nurse Practitioner | Bon Secours Charity Health System Medical Group, P.C. | 10 Franklin Turnpike, Mahwah, NJ 07430 |
| Andrew Najovits | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 257 Lafayette Ave, Suffern, NY 10901-4830 |
| Gopal Shah | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 20 Grand St, Fl 3, Warwick, NY 10990-1035 |
| Walter Ernst Kaufmann | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 5 Skinner St, Port Jervis, NY 12771-2226 |
| Martin L Evers | Internal Medicine | Bon Secours Charity Health System Medical Group, P.C. | 104 Bennett Ave, Milford, PA 18337-9759 |
| Seth E Hurwitz | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 30 Hatfield Ln, Suite 209, Goshen, NY 10924-6768 |
| Yang Shih | Cardiovascular Disease (cardiology) | Bon Secours Charity Health System Medical Group, P.C. | 79 Route 59, Suffern, NY 10901-4913 |
| Street Address |
15 MAPLE AVE |
| City | WARWICK |
| State | NY |
| Zip | 10990-1028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Schwitzer | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Laura Ioachim | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Rena Shabalova | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Russ F Saypoff | Interventional Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Alan J Boykin | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Wei Nie | Certified Registered Nurse Anesthetist (crna) | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Lori A Anderson | Pathology | Orange Pathology Associates, PC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Rami Irfan Farhat | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Ming C Chiou | Anesthesiology | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Amy Lebrun | Nurse Practitioner | Hospitalist Medicine Physicians of New York Pllc | 15 Maple Ave, Warwick, NY 10990-1028 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shuang-ping Wang | Internal Medicine | Horizon Medical Group PC | 5 Grand St, Warwick, NY 10990-1007 |
| Ralph J Alvarez | Internal Medicine | 9 Grand St, Warwick, NY 10990-1007 | |
| Calvin Hargis | Chiropractic | 40 Maple Ave, Warwick, NY 10990-1025 | |
| Jacob Geier | Certified Registered Nurse Anesthetist (crna) | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Elizabeth Kao | Anesthesiology | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Elise H Shreck | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Maria Vissicchio | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Scott M Goldhaber | Anesthesiology | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Bert R Heyligers | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Manish G Patel | Anesthesiology | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Find all physicians in zip 10990 | |||
| City | WARWICK |
| Zip Code | 10990 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WARWICK + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Kristopher P Korsakoff.
| 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.