Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124083241 Deactivated / Inactive NPI Male Practitioner

Dr. Wallace V Korn , MD

Pediatrics • Pompano Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wallace Korn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2006
NPI Deactivation Date April 20, 2006
Total Practice Duration ~1 Years of Practice (2006 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Korn, MD was a registered Pediatrics practicing in Pompano Beach, FL. Throughout an active medical career spanning 1 years, Dr. Korn provided care at the practice location at 601 W ATLANTIC BLVD until profile deactivation on 2006-04-20.

Practice Location & Contact Primary Location

Practice Address

601 W Atlantic Blvd

Pompano Beach, FL 33060

Telephone 9547854273
Fax 9547849249
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Pompano Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Pompano Beach, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL MC15193

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Coeurlande Carry , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1013521897

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

NPI 1033182886

Doctor of Medicine (M.D.)

Jennifer Malalel , APRN

Advanced Practice Midwife

NPI 1063383495

Advanced Practice Registered Nurse

Dr. Jessica Grenvik , MD

Obstetrics & Gynecology

NPI 1144849571

Doctor of Medicine (M.D.)

NPI 1477291912

Doctor of Medicine (M.D.)

NPI 1538112123

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 601 W ATLANTIC BLVD, POMPANO BEACH, FL 33060 (Tel: 9547854273)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 862851, ORLANDO, FL 328862851 (Tel: 9548474273)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALLACE KORN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #MC15193 in FL)

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NPI Profile Deactivated April 20, 2006

Record deactivated on April 20, 2006

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Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124083241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2006
Last Update: July 08, 2007
Deactivation Date: April 20, 2006

Mailing Address

Po Box 862851

Orlando, FL 328862851

Phone: 9548474273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.