Jonathon Russell Korth
Jonathon Russell Korth is a Physician Assistant in Humphrey, Nebraska. Qualified in 2022, 4 years ago. Practices with Merrick Medical Center, a 14-clinician group and accepts Medicare assignment. Licensed in Nebraska.
- Years since qualifying
- 4
- Licensed in
- NE
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
46439 275 AveHumphrey, NE 68642-5003
Phone: (402) 920-2926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2865 (NE) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 1942925516 (NE) |
Record details
| NPI number | 1942925516 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 6, 2022 |
| Last updated in NPPES | March 1, 2023 |
| Certification date | November 9, 2022 |
| Mailing address | 46439 275 Ave, Humphrey, NE 68642-5003 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Merrick Medical Center — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |