Joanne D. Corum, M.D.
Individual provider Active NPI General Practice Physician · Pineville, KY
NPI 1487862991 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487862991
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 14779 (KY)
- Practice address
- RR 1 Box 173 Kingdom Come Parkway
Pineville, KY 40977 - Phone
- (606) 337-9955
- Fax
- (606) 337-7926
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central District Health Dept. | Past | Accepting new patients | |
| North Central District Health Dept. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14779 | KY | Yes |
Addresses
Primary practice location
RR 1 Box 173 Kingdom Come Parkway
Pineville, KY 40977
Mailing address
HC 86 Box 1225
Stoney Fork, KY 40988-9603
Phone (606) 337-8115
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64147796 | Medicaid | KY |
Other providers in Pineville, KY
- Champion Physical Therapy Kentucky, LLC
- Childrens Advocacy Center of Bell County
- Christ Centered Physical Therapy for Appalachia Inc.
- J Karen Clark
- Martha C Combs-Woolum
- County of Bell
- Rebecca Nicole Crisp
- Cumberland Valley District Health Department
- Dialysis Services of Pineville LLC
- Mansfield Dixon Jr.
All providers in Pineville, KY · General Practice Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.