Active NPI
Corinne E Jedynak-Bell, D.O.
- Obstetrics & Gynecology Physician
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 005225
- Practice address
- 19389 N 59TH Ave
Glendale, AZ 85308-6500 - Phone
- (623) 537-6000
- Fax
- (623) 537-6017
- NPI assigned
- Feb 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 005225 | AZ | Primary |
Addresses
Primary practice location
19389 N 59TH Ave
Glendale, AZ 85308-6500
Mailing address
19389 N 59TH Ave
Glendale, AZ 85308-6500
Phone (623) 537-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446207 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | Current | Accepting new patients | |
| Lone Star OB/GYN Associates, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Midwestern University | Current | Accepting new patients | |
| Midwestern University | Current | Accepting new patients | |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
19389 N 59th Ave
Glendale, AZ 85308
26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000
7950 Floyd Curl Dr
Ste 300400
San Antonio, TX 78229
Phone (210) 615-6505
7950 Floyd Curl Dr
Ste 300
San Antonio, TX 78229
Phone (210) 615-6505
3903 Wiseman Blvd
Ste 300
San Antonio, TX 78251
Phone (210) 426-3663
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1932206414
-
- Obstetrics & Gynecology Physician
- San Antonio, TX
- NPI 1063441921
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Optometrist
- Glendale, AZ
- NPI 1891017745
-
- Optometrist
- Downers Grove, IL
- NPI 1295126324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1326287285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19389 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086500",
"telephone_number": "623-537-6000",
"fax_number": "623-537-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19389 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086500",
"telephone_number": "623-537-6000",
"fax_number": "623-537-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEDYNAK-BELL",
"first_name": "CORINNE",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-16",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "005225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "446207",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.