Active NPI
Lee I Corwin MD PC
- Neurology Physician
- Plymouth, MA
National Provider Identifier
1205020740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 48023
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee I Corwin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145114 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Plymouth, MA
- NPI 1063516326
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.