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KEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION NPI 1942316849


NPI Information

NPI: 1942316849
Provider Name: KEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
3510 UNOCAL PL STE 207
SANTA ROSA, CA
ZIP 95403
Phone: (707) 569-7860
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KEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION is a thoracic surgery cardiothoracic vascular surgery in Santa Rosa, CA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. KEITH F KORVER MD A PROFESSIONAL MEDICAL CORPORATION NPI is 1942316849. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3510 UNOCAL PL STE 207
SANTA ROSA, CA
ZIP 95403-918
Phone: (707) 569-7860
Fax: (707) 545-5408

The provider's authorized official is Keith Forrest Korver .
The authorized official title is President and has the following contact phone number (707) 569-7860.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0090987MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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