NPIMap

Organization Active NPI

Kenneth M. Corrin, Jr., M.D., P.a.

  • Cardiovascular Disease Physician
  • Wilmington, DE
National Provider Identifier
1437430741
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C10000284 Issued in DE
Legal business name
KENNETH M. CORRIN, JR., M.D., P.A.
Practice address
1307 N Rodney St
Wilmington, DE 19806-4226
Phone
(302) 654-2226
Fax
(302) 654-9026
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Ms. Mary McGonigle, M.A.
Title
Medical Assistant
Phone
(302) 654-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X C10000284 DE Primary

Addresses

Primary practice location

1307 N Rodney St
Wilmington, DE 19806-4226

Mailing address

1307 N Rodney St
Wilmington, DE 19806-4226
Phone (302) 654-2226

National Provider Directory

National Provider Directory

Locations

1307 N Rodney St
Wilmington, DE 19806
Phone (302) 654-2226

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1437430741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064226",
            "telephone_number": "302-654-2226",
            "fax_number": "302-654-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064226",
            "telephone_number": "302-654-2226",
            "fax_number": "302-654-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. CORRIN, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "MCGONIGLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "302-654-2226",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10000284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.