Active NPI
Sandra Corbin, RN
- Cardiovascular Disease Physician
- Dayton, OH
National Provider Identifier
1376784777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 195460
- Practice address
- 122 Wyoming St
Dayton, OH 45409-2731 - Phone
- (937) 223-4461
- Fax
- (937) 449-7610
- NPI assigned
- Mar 13, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 195460 | OH | Primary |
Addresses
Primary practice location
122 Wyoming St
Dayton, OH 45409-2731
Mailing address
122 Wyoming St
Dayton, OH 45409-2731
Phone (937) 223-4461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195460 | OH | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1376784777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092731",
"telephone_number": "937-223-4461",
"fax_number": "937-449-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092731",
"telephone_number": "937-223-4461",
"fax_number": "937-449-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "SANDRA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-13",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "195460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.