Caroline M Corpus, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E-7213 Issued in AR

Practice address

310 Thompson Ave
El Dorado, AR 71730-4569

Phone

(870) 862-4216

Fax

(870) 862-9011

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ivory a. Kinslow, Mdpa

  • Ophthalmology Physician
  • El Dorado, AR
  • NPI 1376986539

  AR, Ophthalmology

  Medicare reassignment NPD
• Ivory a. Kinslow, Mdpa

  • Optometrist
  • Magnolia, AR
  • NPI 1124684923

  Ophthalmology

  NPD

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1295964153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MOCKINGBIRD LN",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717302837",
            "telephone_number": "870-875-8838",
            "fax_number": "870-875-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 THOMPSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304569",
            "telephone_number": "870-862-4216",
            "fax_number": "870-862-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUS",
        "first_name": "CAROLINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E-7213",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7213",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01082504",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194054001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Henri Cook, LAC
• Kalee E Cook, BA, SLPA
• Kelly Cook, RT,CT,RDMS
• Christina Lauren Cooper, M.D.
• Patrick N. Copes, CRNA
• Michael Beltran Corpus, MD
• Kaitlyn Coston, OTA
• Courtyard Rehabilitation and Health
• Gortrell Cox
• Candace Suzanne Crawford, PHARM.D.

• All providers in El Dorado, AR
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.