Eunice Corujo-Incha, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36121 Issued in WI

Practice address

2251 N Shore Dr
Suite 200
Rhinelander, WI 54501-8360

Phone

(715) 361-4700

NPI assigned

Jun 8, 2006

Last updated

Dec 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Pediatric Medicine

Education

University of Puerto Rico School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sokaogon Chippewa CommunityGroup PAC ID 1759370869, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73753
• Direct secure messaging: ecorujoincha169698@direct.aspirus.org

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.

• Sokaogon Chippewa Community

  • Federally Qualified Health Center (FQHC)
  • Crandon, WI
  • NPI 1033115456
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1255371837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 NORTHSHORE DR",
            "address_2": "SUITE 100",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "54501",
            "telephone_number": "715-361-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "address_2": "SUITE 200",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018360",
            "telephone_number": "715-361-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORUJO-INCHA",
        "first_name": "EUNICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "36121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eunice.corujo-incha.1@10114.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2251 N Shore Dr",
            "address_2": "SUITE 200",
            "city": "Rhinelander",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545018360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Community Mental Health Services Inc
• Alyssa K Condon
• Alex Johathon Conway, DPT
• Emily Corcoran
• Cornerstone Psychological Associates, LLC
• Counseling & Psychological Services
• Counseling and Psychological Services, LLC
• Courtney Street Rehab Clinic LTD
• Jeanne Craig
• Jonathan Currie, M.D.

• Pediatrics Physician in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.