Corvinus Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N0635 Issued in TX

Legal business name

CORVINUS MEDICAL GROUP LLC

Practice address

4100 Heritage Ave
Suite 102
Grapevine, TX 76051-5714

Phone

(817) 271-4551

NPI assigned

May 22, 2013

Last updated

May 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eniko Barthel, MDNPI 1558365130

Title

Owner

Phone

(817) 271-4551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eniko Kiraly Barthel, M.D.

  • Internal Medicine Physician
  • Grapevine, TX
  • NPI 1558365130
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1063858629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 DILLON CT",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546047",
            "telephone_number": "817-271-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE AVE",
            "address_2": "SUITE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515714",
            "telephone_number": "817-271-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVINUS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "BARTHEL",
        "authorized_official_first_name": "ENIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-271-4551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Cooper, RDH,BS
• Coppell Spine & Sports Rehab Limted Partnership (Therapy Partners of North Texas)
• Olivia Rae Cornelius
• Kathleen Dawn Cortelyou
• Ericka Lynda Cortez, LMT, MI
• Patricia A Covey, P.T.
• Alan E Cowen, MD
• Lauren Crane
• Mary Elizabeth Crane, DPM
• Donna Cranford, COTA

• Internal Medicine Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.