Organization Active NPI

Lee I Corwin MD PC

  • Neurology Physician
  • Plymouth, MA
National Provider Identifier
1205020740
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
48023 Issued in MA
Legal business name
LEE I CORWIN MD PC
Practice address
45 Resnik Rd
Suite 207
Plymouth, MA 02360-4844
Phone
(508) 746-9040
Fax
(508) 746-9041
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Lee I Corwin, MDNPI 1063516326
Title
Owner
Phone
(508) 746-9040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 48023 MA Primary

Addresses

Primary practice location

45 Resnik Rd
Suite 207
Plymouth, MA 02360-4844

Mailing address

45 Resnik Rd
Suite 207
Plymouth, MA 02360-4844
Phone (508) 746-9040

Other identifiers 1

IdentifierTypeStateIssuer
0145114MedicaidMA

National Provider Directory

National Provider Directory

Locations

45 Resnik Rd
Ste 207
Plymouth, MA 02360
Phone (508) 746-4240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1205020740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD",
            "address_2": "SUITE 207",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604844",
            "telephone_number": "508-746-9040",
            "fax_number": "508-746-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD",
            "address_2": "SUITE 207",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604844",
            "telephone_number": "508-746-9040",
            "fax_number": "508-746-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE I CORWIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "CORWIN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-746-9040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "48023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145114",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.