Individual provider Active NPI

Christopher Jenkins Corner, MD

  • Child & Adolescent Psychiatry Physician
  • Lancaster, OH
National Provider Identifier
1508846536
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35-061446 Issued in OH
Practice address
1334 Sheridan Dr
Suite 2
Lancaster, OH 43130-3956
Phone
(740) 653-9186
Fax
(740) 653-9214
NPI assigned
Jan 17, 2006
Last updated
Jun 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-061446 OH
Child & Adolescent Psychiatry Physician 2084P0804X 35-061446 OH Primary
Geriatric Psychiatry Physician 2084P0805X 35-061446 OH

Addresses

Primary practice location

1334 Sheridan Dr
Suite 2
Lancaster, OH 43130-3956

Mailing address

1334 Sheridan Dr
Suite 2
Lancaster, OH 43130-3956
Phone (740) 653-9186

Other identifiers 1

IdentifierTypeStateIssuer
2017552MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227000107 OH Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 7517853526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 W Broad St
Columbus, OH 43223-1297
Phone (614) 752-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-061446OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
State of Ohio Office of Budget and Management, State Accounting CurrentSince Sep 21, 2015 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Sep 21, 2015 Accepting new patients
Hocking Hills Family Counseling & Psychiatry, Inc. Psychiatry PastSince Feb 1, 2004 Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients

Locations

2200 W Broad St
Columbus, OH 43223

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

Interoperability endpoints

  • Direct secure messaging: ccorner21389@mhas.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1508846536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 SHERIDAN DR",
            "address_2": "SUITE 2",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303956",
            "telephone_number": "740-653-9186",
            "fax_number": "740-653-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 SHERIDAN DR",
            "address_2": "SUITE 2",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303956",
            "telephone_number": "740-653-9186",
            "fax_number": "740-653-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JENKINS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-061446",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35-061446",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35-061446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.