Donald S Corenman, M.D.
Individual provider Active NPI Orthopaedic Surgery of the Spine Physician · Vail, CO
NPI 1497700835 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1497700835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- 32307 (CO)
- Practice address
- 181 W Meadow Dr
Suite 400
Vail, CO 81657-5242 - Phone
- (970) 476-1100
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230622000418 | HI | Practitioner - Orthopedic Surgery | 6709773955 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32307 | CO | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Spine & Orthopedic Institute LLC | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
500 Ala Moana Blvd
Ste 4445
Honolulu, HI 96813
Phone (808) 358-6200
Interoperability endpoints
- donald.corenman@525248468418564.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 32307 | CO | Yes |
| Orthopaedic Surgery Physician | 207X00000X | 32307 | CO | |
| Orthopaedic Trauma Physician | 207XX0801X | 32307 | CO | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 32307 | CO |
Addresses
Primary practice location
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Mailing address
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Phone (970) 476-1100
Other providers in Vail, CO
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
- Frederic Albert Cook IV
- Molly Cook
- Cor Diagnostic Specialists LLC
- Rose Stratton Corenman
- Anna Rose Cotton
- Holly Coulson
- Joseph William Cygan Jr.
- Kevin Patrick Daly
All providers in Vail, CO · Orthopaedic Surgery of the Spine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.