Provider Demographics
NPI:1710919683
Name:SCHORN, KAREN (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SCHORN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4204 MURDOCKSVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-8871
Mailing Address - Country:US
Mailing Address - Phone:910-255-0055
Mailing Address - Fax:910-255-0060
Practice Address - Street 1:4204 MURDOCKSVILLE ROAD
Practice Address - Street 2:
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376-8871
Practice Address - Country:US
Practice Address - Phone:910-255-0055
Practice Address - Fax:910-255-0060
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00009207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC56-1912684OtherTAX ID #
NC0136YOtherBLUE CROSS BLUE SHIELD
NC1013975598OtherCOMPANY NPI
NC2073598OtherMEDICARE
NCP00768089OtherRAILROAD MEDICARE
NC2073598AOtherMEDICARE PROVIDER PTAN
NC2225603AOtherGROUP PTAN
NC2073598AOtherMEDICARE PROVIDER PTAN
NC2073598OtherMEDICARE