| Keith Forrest Korver, MD | |
|
3510 Unocal Pl Ste 207, Santa Rosa, CA 95403-0918 | |
| (707) 569-7860 | |
| (707) 545-5408 |
| Full Name | Keith Forrest Korver |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 44 Years |
| Location | 3510 Unocal Pl Ste 207, Santa Rosa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316946130 | NPI | - | NPPES |
| 00G522350 | Medicaid | CA | |
| 00G522350 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | G52235 (California) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G52235 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| California Pacific Medical Center- Van Ness Campus | San francisco, CA | Hospital |
| El Camino Hospital | Mountain view, CA | Hospital |
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keith F. Korver, Md A Professional Medical Corporation | 8527094267 | 2 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Keith F. Korver, Md A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790819613 PECOS PAC ID: 8527094267 Enrollment ID: O20050713000816 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1982845186 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000247 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1104067115 PECOS PAC ID: 4284538778 Enrollment ID: O20090501000456 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497996524 PECOS PAC ID: 4284538778 Enrollment ID: O20090506000097 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1568851327 PECOS PAC ID: 4284538778 Enrollment ID: O20170927001545 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1033817168 PECOS PAC ID: 4284538778 Enrollment ID: O20230407001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Forrest Korver, MD 3510 Unocal Pl Ste 207, Santa Rosa, CA 95403-0918 Ph: (707) 569-7860 | Keith Forrest Korver, MD 3510 Unocal Pl Ste 207, Santa Rosa, CA 95403-0918 Ph: (707) 569-7860 |
Dr. Joseph David Cohn, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 6552 Pine Valley Dr, Santa Rosa, CA 95409 Phone: 707-480-8702 Fax: 707-578-6701 | |
Ramzi Khalil Deeik, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-05, Santa Rosa, CA 95405 Phone: 707-255-8825 Fax: 707-252-9325 | |
James Edward O'dorisio, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 76 Brookwood Ave, Santa Rosa, CA 95404 Phone: 707-578-3000 Fax: 707-540-6407 |