Martha Monica Corradine, MD

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

35-07-2691-C Issued in OH

Practice address

One Elizabeth Place
Dayton, OH 45408

Phone

(937) 229-9800

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Anesthesia and Pain Management LLC

  • Multi-Specialty Clinic/Center
  • Beavercreek, OH
  • NPI 1952780132
  NPD (past)
• Ohio Institute of Cardiac Care, Inc

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1396938791
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396966925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 PATRICK BOULEVARD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45431",
            "telephone_number": "937-431-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ELIZABETH PLACE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45408",
            "telephone_number": "937-229-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADINE",
        "first_name": "MARTHA",
        "middle_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "35-07-2691-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052380",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristopher Lee Cornwell, BA/LSW
• Michelle Ann Cornwell, R.PH.
• Samuel Cornwell, MD
• Marie Antointte Corona, LPN
• Jennifer M. Coronati, AAS, CDCA
• Christopher Corrigan, PHARMD
• Emily Rose Corser
• Edmund L Cortez, RPH
• Eric L Corthell
• Loki Cortner

• Urgent Care Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.