Michael W Corbin, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101051224 Issued in VA

Practice address

2520 Valley Dr
Suite 215
PT Pleasant, WV 25550-2031

Phone

(304) 675-2229

Fax

(304) 675-5068

NPI assigned

May 24, 2006

Last updated

Mar 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH, TX, NY, VA, NH5 enrollments

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 5

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
• Direct secure messaging: mcorbin124689@direct.rivhs.com
• Direct secure messaging: mcorbin705014@direct.sentara.net

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.

• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782

  Multi-Specialty

  Medicare reassignment NPD
• DHHS,PHS,Naihs, Gallup Indian Medical Center

  • General Acute Care Hospital
  • Gallup, NM
  • NPI 1225002322

  Multi-Specialty, TX

  Medicare reassignment NPD
• Martinsville Physician Practices LLC

  • Internal Medicine Physician
  • Martinsville, VA
  • NPI 1255380887

  Multi-Specialty

  Medicare reassignment NPD
• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418

  Multi-Specialty

  Medicare reassignment NPD
• Piedmont Access to Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1649240698

  Multi-Specialty

  Medicare reassignment NPD
• Canton-Potsdam Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Potsdam, NY
  • NPI 1114104445
  NPD
• Canton-Potsdam Hospital

  dba CPH Anesthesiology Physicians

  • Anesthesiology Physician
  • Potsdam, NY
  • NPI 1841621000

  Multi-Specialty

  NPD
• Martinsville Physician Practices LLC

  dba Sovah Internal Medicine - Martinsville

  • Rural Health Clinic/Center
  • Martinsville, VA
  • NPI 1558049742
  NPD
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Toledo, OH
  • NPI 1235891672
  NPD
• Piedmont Access to Health Services Inc

  dba Health Center of Piedmont Danville

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1578696910
  NPD
• Piedmont Access to Health Services, Inc

  dba PATHS Community Medical Center Danville Riverside

  • Federally Qualified Health Center (FQHC)
  • Danville, VA
  • NPI 1114630662

  Multi-Specialty

  NPD
• Point Pleasant Physician Billing Services

  • Multi-Specialty Clinic/Center
  • PT Pleasant, WV
  • NPI 1396798898
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1255386322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DR",
            "address_2": "SUITE 215",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255502031",
            "telephone_number": "304-675-2229",
            "fax_number": "304-675-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DR",
            "address_2": "SUITE 215",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255502031",
            "telephone_number": "304-675-2229",
            "fax_number": "304-675-5068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7785 N State St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lowville",
            "state": "NY",
            "postal_code": "133671229",
            "country_code": "US",
            "telephone_number": "315-376-5475",
            "fax_number": "315-376-5129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Wheeling Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Dale",
            "state": "WV",
            "postal_code": "260381660",
            "country_code": "US",
            "telephone_number": "304-845-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "183778",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "19349",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101051224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093738003",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2060040",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093738002",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE REGISTRATION",
            "identifier": "183778",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harold Edward Ayers Jr., MD
• Breton L Morgan, M.D., Inc.
• Misty D Burgos
• Helen Jane Carry, RN
• Jeremy Cochran, LGSW
• Wilma Cottrell
• Heather Marie Cundiff, MS,CCC-SLP
• Agnes A Enrico-Simon, MD
• David C. Faber, M.D., F.A.C.S.
• Carol Frazier

• Obstetrics & Gynecology Physician in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.