KORRY WIRTH
NPI 1245867175
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since March 23, 2020PECOS Enrolled
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2100 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Korry Wirth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORRY WIRTH (NPI 1245867175) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245867175
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKORRY WIRTH
Location Address601 ELMWOOD AVERochester, NY 14642-0001
Mailing Address601 Elmwood AveRochester, NY 14642-0001 · (585) 275-2100
Sole ProprietorNo
Enumeration DateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
NPI 1245867175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

601 ELMWOOD AVE, Rochester, NY 14642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Korry Wirth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX MED
ROCHESTER, NY 14642
Internal Medicine (Cardiovascular Disease)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Clinical Neuropsychologist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Plastic Surgery
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pharmacist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pharmacist
601 ELMWOOD AVE
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX SURG
ROCHESTER, NY 14642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245867175, enumerated as an "individual" on March 23, 2020.

The provider is located at 601 ELMWOOD AVE ROCHESTER, NY 14642 and the phone number is (585) 275-2100.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.