George B Corn PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20462 Issued in WV

Legal business name

GEORGE B CORN PLLC

Practice address

2410 Jefferson Ave
PT Pleasant, WV 25550-1528

Phone

(304) 675-7100

Fax

(304) 675-7102

NPI assigned

Apr 1, 2007

Organization subpart

No

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

Authorized official

Name

George B Corn, MD

Title

MD

Phone

(304) 675-7100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083734941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 JEFFERSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501528",
            "telephone_number": "304-675-7100",
            "fax_number": "304-675-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 JEFFERSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501528",
            "telephone_number": "304-675-7100",
            "fax_number": "304-675-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE B CORN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "304-675-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00171194",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilma Cottrell
• Heather Marie Cundiff, MS,CCC-SLP
• Agnes A Enrico-Simon, MD
• David C. Faber, M.D., F.A.C.S.
• Carol Frazier
• Jordan Harris
• Rachelle A Hill, CFNP
• Monte Hoffman
• Robert M Holley, MD
• Ismael Ortego Jamora, MD

• Family Medicine Physician in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.