Individual provider Active NPI

Jorge Eduardo Corso, M.D.

  • Vascular Surgery Physician
  • Atlanta, GA
National Provider Identifier
1235314329
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
054603 Issued in GA
Practice address
550 Peachtree St NE
Suite 1085
Atlanta, GA 30308-2208
Phone
(404) 681-3190
Fax
(404) 686-3193
NPI assigned
Jan 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 054603 GA Primary

Addresses

Primary practice location

550 Peachtree St NE
Suite 1085
Atlanta, GA 30308-2208

Mailing address

550 Peachtree St NE
Suite 1085
Atlanta, GA 30308-2208
Phone (404) 681-3190

Other identifiers 1

IdentifierTypeStateIssuer
003107206AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601002411 OH Practitioner - Vascular SurgeryPractitioner - General Surgery 3375684855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians

Practice addresses (Care Compare)

12000 McCracken Rd
Garfield Heights, OH 44125-2933

16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone (440) 878-2500

1730 W 25TH St
Cleveland, OH 44113-3108

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205

20455 Lorain Rd
Suite 301
Fairview Park, OH 44126-3531
Phone (216) 476-6961

2550 Som Ctr Rd
Willoughby Hills, OH 44094-9655
Phone (440) 943-2500

33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000

33300 Cleveland Clinic Blvd
Avon, OH 44011-1172
Phone (440) 695-5000

5001 Rockside Rd
Independence, OH 44131-2172
Phone (216) 986-4000

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4152
Phone (440) 204-7400

6801 Mayfield Rd
Mayfield Heights, OH 44124-2207

8300 Norton Pkwy
Mentor, OH 44060-6601
Phone (216) 444-2200

850 Columbia Rd
Westlake, OH 44145-7214

8701 Darrow Rd
Twinsburg, OH 44087-2105
Phone (330) 888-4000

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

970 E Washington St
Medina, OH 44256-2181

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Mar 11, 2016 Accepting new patients
Wooster Clinic, LLC CurrentSince Oct 31, 2017 Accepting new patients
Fairview Hospital Past Accepting new patients

Locations

33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 686-0105

33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

20455 Lorain Rd
Fairview Park, OH 44126
Phone (440) 333-8600

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1235314329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1085",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-681-3190",
            "fax_number": "404-686-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1085",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-681-3190",
            "fax_number": "404-686-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSO",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "054603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107206A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.