Jan Roman Kornilow in Muncie - Emergency Medicine

Jan Roman Kornilow - NPI 1487653515

Jan Roman Kornilow is a Emergency Medicine in Muncie, Indiana. Jan Roman Kornilow practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Jan Roman Kornilow is 1487653515. The last update date is 2021-02-08.

Jan Roman Kornilow's current location address is 2401 W University Ave, Muncie, Indiana. You can contact this provider via phone number 2609691950. The mailing address for Jan Roman Kornilow is 2401 W University Ave, Muncie, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jan Roman Kornilow
Address 2401 W University Ave, Muncie, Indiana
Phone Number 2609691950
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487653515
Provider Enumeration Date 2005-07-20
Last Updated Date 2021-02-08

Provider Mailing Address Detail

Address 2401 W University Ave
City Muncie
State Indiana (IN)
Post Code 473033428
Phone Number 2609691950
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 01046719A
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
658168 IN ANTHEM BC/BS
200173100A IN --
P00742238 IN RAILROAD MEDICARE
626585 IN ANTHEM BC/BS
P00841049 IN RAILROAD MEDICARE
82488 IN BLUE CROSS/BLUE SHIELD
P00730932 IN RAILROAD MEDICARE

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FAQs about Jan Roman Kornilow

What is the unique identifier code issued to Jan Roman Kornilow by the Centers for Medicare & Medicaid Services (CMS)?

The Jan Roman Kornilow has been assigned the NPI (National Provider Identifier) 1487653515. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jan Roman Kornilow?

The Jan Roman Kornilow is physically situated at 2401 W University Ave, in the city of Muncie, state of IN, with the postal code 473033428.

What is Jan Roman Kornilow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jan Roman Kornilow's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

On what date was the 1487653515 assigned to Jan Roman Kornilow?

The Jan Roman Kornilow was issued its 1487653515 on 2005-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Jan Roman Kornilow's information last updated?

The Jan Roman Kornilow's information was last updated on 2021-02-08.

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