Active NPI
Michael J Corrigan, MD
- Internal Medicine Physician
- Swanton, VT
National Provider Identifier
1194793703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42-0006830
- Practice address
- 12 Church St
Swanton, VT 05488-1403 - Phone
- (802) 868-3175
- Fax
- (802) 868-2923
- NPI assigned
- Mar 9, 2006
- Last updated
- Apr 8, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42-0006830 | VT | Primary |
Addresses
Primary practice location
12 Church St
Swanton, VT 05488-1403
Mailing address
PO Box 1346
Williston, VT 05495-1346
Phone (802) 527-1405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005690 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230724001254 | VT | Order and Referring Only - Family Practice | 7012801186 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42-0006830 | VT | MD | Internal Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Swanton, VT
- NPI 1003947664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1194793703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1346",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054951346",
"telephone_number": "802-527-1405",
"fax_number": "802-933-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CHURCH ST",
"city": "SWANTON",
"state": "VT",
"postal_code": "054881403",
"telephone_number": "802-868-3175",
"fax_number": "802-868-2923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRIGAN",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "42-0006830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005690",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swanton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.