Corinne E Fogle, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001334 Issued in IA

Practice address

303 East St
Grinnell, IA 50112-2557

Phone

(641) 527-2929

Fax

(641) 527-2922

NPI assigned

Oct 31, 2005

Last updated

Jun 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Corinne Conner Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: corinnefogle@grmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grinnell Regional Medical Center

  dba Unitypoint Health - Grinnell Professional Services

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437663242
  Medicare reassignment NPD
• QV Urgent Care Ia PLLC

  dba QuickVisit Urgent Care

  • Urgent Care Clinic/Center
  • Mt Pleasant, IA
  • NPI 1407465917
  Medicare reassignment NPD
• CH Specialty Services Ia PC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1942909353
  Medicare reassignment
• Curana Health of Iowa PLLC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1730773714
  Medicare reassignment
• QV Urgent Care Ia PLLC

  dba QuickVisit Urgent Care

  • Rural Health Clinic/Center
  • Osceola, IA
  • NPI 1043936735
  NPD
• QV Urgent Care Ia PLLC

  dba Quickvisit Urgent Care

  • Rural Health Clinic/Center
  • Washington, IA
  • NPI 1235835950
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1063403038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "address_2": "303 EAST STREET",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501120127",
            "telephone_number": "641-527-2929",
            "fax_number": "641-527-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 EAST ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122557",
            "telephone_number": "641-527-2929",
            "fax_number": "641-527-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "CORINNE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "CONNER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Medical Physician Assistant in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.