Active NPI
Robert J. Corba, D.O.
- Pain Medicine (Anesthesiology) Physician
- Allentown, PA
National Provider Identifier
1124016845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- OS008439L
- Practice address
- 250 Cetronia Road
Allentown, PA 18104-9168 - Phone
- (610) 973-6200
- Fax
- (610) 973-6545
- NPI assigned
- Oct 6, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | OS008439L | PA | Primary |
Addresses
Primary practice location
250 Cetronia Road
Allentown, PA 18104-9168
Mailing address
250 Cetronia Road
Suite 303
Allentown, PA 18104-9168
Phone (610) 973-6200
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0739805000 | Other | PA | INDEP. BLUE CROSS |
| 0545622 | Other | PA | HIGHMARK |
| 0545622 | Other | PA | KHP CENTRAL |
| 30000047 | Other | PA | KEYSTONE MERCY |
| 2438785 | Other | PA | AETNA |
| P2616743 | Other | PA | OXFORD |
| 12447 | Other | PA | THREE RIVERS |
| 20008204 | Other | PA | AMERIHEALTH MERCY |
| 50106954 | Other | PA | CAP. BLUE CROSS |
| 6647322-004 | Other | PA | CIGNA |
| 01512925 | Other | PA | GATEWAY |
| 0017114370 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Specialists of Greater Lehigh Valley, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine Physician
- Allentown, PA
- NPI 1679560403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1124016845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CETRONIA ROAD",
"address_2": "SUITE 303",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049168",
"telephone_number": "610-973-6200",
"fax_number": "610-973-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CETRONIA ROAD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049168",
"telephone_number": "610-973-6200",
"fax_number": "610-973-6545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBA",
"first_name": "ROBERT",
"middle_name": "J.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "OS008439L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEP. BLUE CROSS",
"identifier": "0739805000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "0545622",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHP CENTRAL",
"identifier": "0545622",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30000047",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2438785",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2616743",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "12447",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "20008204",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAP. BLUE CROSS",
"identifier": "50106954",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6647322-004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "01512925",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017114370",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.