Physician Compare National (NPI:1699738856)

HEALTHCARE PROVIDER: JOHN L. KORBA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699738856
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274559240
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130520000098
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KORBA
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1100 BROOKHAVEN RD
	Group Practice or individual's line 1 address
City	FRANKLIN
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	421342746
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE MEDICAL CENTER (BOWLING GREEN)
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180105
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MONROE COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	181318
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	THE MEDICAL CENTER AT FRANKLIN
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	180124
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GREENVIEW REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	181330
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	RUSSELL COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1699738856)

HEALTHCARE PROVIDER: JOHN L. KORBA MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information