Active NPI
Paul M Corbett, CRNA
- Certified Registered Nurse Anesthetist
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024171123
- Practice address
- 3998 Fair Ridge Drive
Suite 320
Fairfax, VA 22033-2921 - Phone
- (703) 295-9360
- Fax
- (703) 295-9369
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 157355 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 072157 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024171123 | VA | Primary |
Addresses
Primary practice location
3998 Fair Ridge Drive
Suite 320
Fairfax, VA 22033-2921
Mailing address
PO Box 37090
Baltimore, MD 21297-3090
Phone (703) 295-9360
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | VA | |
| 5903562 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, WV, MD
Enrollment records 4
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157355 | NC | MD | Registered Nurse |
| 072157 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine Associates, LTD | Current | Accepting new patients | |
| Physical Medicine Associates, LTD | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Center for Pain Management, LLC | Current | Accepting new patients | |
| ASC Development Company, LLC | Past | Accepting new patients | |
| ASC Development Company, LLC | Past | Accepting new patients | |
| ASC Development Company, LLC | Past | Accepting new patients | |
| ASC Development Company, LLC | Past | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Past | Accepting new patients |
| ASC Development Company, LLC | Past | Accepting new patients | |
| ASC Development Company, LLC | Past | Accepting new patients | |
| ASC Development Company, LLC | Past | Accepting new patients | |
| Surgery Center of Central Virginia Inc. | Past | Accepting new patients | |
| ASC Development Company, LLC | Past | Accepting new patients | |
| ASC Development Company, LLC | Past | Accepting new patients | |
| ASC Development Company LLC | Past | Accepting new patients | |
| NSPC Surgery Center of Maryland LLC | Past | Accepting new patients |
Locations (25 of 27)
510 Upper Chesapeake Dr
Ste 415
Bel Air, MD 21014
Phone (443) 643-3000
16900 Science Dr
Ste 100
Bowie, MD 20715
Phone (301) 464-7008
7120 Minstrel Way
Ste 106
Columbia, MD 21045
Phone (410) 290-9191
9151 Rumsey Rd
Ste 150
Columbia, MD 21045
Phone (443) 583-7958
75 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 620-0012
19735 Germantown Rd
Ste 360
Germantown, MD 20874
Phone (301) 528-2810
1600 Crain Hwy S
Ste 301
Glen Burnie, MD 21061
Phone (410) 760-1400
1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
6710 Oxon Hill Rd
Ste 550
Oxon Hill, MD 20745
Phone (301) 485-7400
1838 Greene Tree Rd
Ste 150
Pikesville, MD 21208
Phone (301) 881-7246
11921 Rockville Pike
Ste 505
Rockville, MD 20852
Phone (301) 881-7246
6820 Hospital Dr
Ste 302
Rosedale, MD 21237
Phone (410) 682-2823
3460 Old Washington Rd
Ste 300
Waldorf, MD 20602
Phone (301) 645-1523
5010 Regency Pl
Ste 202A
White Plains, MD 20695
Phone (301) 645-1523
5010 Regency Pl
Ste 202B
White Plains, MD 20695
Phone (301) 645-1523
6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332
3620 Joseph Siewick Dr
Ste 410
Fairfax, VA 22033
5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262
1750 Tysons Blvd
Ste 120
McLean, VA 22102
Phone (703) 556-9155
1750 Tysons Blvd
Ste 210
McLean, VA 22102
1420 Spring Hill Rd
Ste 210
McLean, VA 22102
Phone (703) 738-4342
525 Amherst St
Ste 104
Winchester, VA 22601
Phone (540) 662-4263
14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371
500 Cherry St
Bluefield, WV 24701
Phone (304) 324-2614
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- MC Lean, VA
- NPI 1003884560
DC, MD
-
- Interventional Pain Medicine Physician
- Hagerstown, MD
- NPI 1962463265
DC
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered, WV
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
-
- Interventional Pain Medicine Physician
- Fairfax, VA
- NPI 1316465461
-
- Ambulatory Surgical Clinic/Center
- Forest, VA
- NPI 1215957816
-
- Ambulatory Surgical Clinic/Center
- White Plains, MD
- NPI 1114491073
-
- Ambulatory Surgical Clinic/Center
- Glen Burnie, MD
- NPI 1023266145
-
- Ambulatory Surgical Clinic/Center
- Bel Air, MD
- NPI 1053560896
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1093757379
-
- Ambulatory Surgical Clinic/Center
- Pikesville, MD
- NPI 1215185335
-
- Ambulatory Surgical Clinic/Center
- Bowie, MD
- NPI 1225286354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1053461889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37090",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973090",
"telephone_number": "703-295-9360",
"fax_number": "703-295-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DRIVE",
"address_2": "SUITE 320",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332921",
"telephone_number": "703-295-9360",
"fax_number": "703-295-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "PAUL",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "157355",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "072157",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024171123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903562",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.