Corinna Balanon Soriano, M.D.
Individual provider Active NPI Pediatrics Physician · Newtown, CT
NPI 1528046307 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1528046307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 045840 (CT)
- Practice address
- 32 Church Hill Rd
Newtown, CT 06470-1638 - Phone
- (203) 426-5437
- Fax
- (203) 262-4255
- NPI assigned
- Jan 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20080408000149 | CT | Practitioner - Pediatric Medicine | 1759354814 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045840 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current |
Accepting new patients |
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current |
Accepting new patients |
| Church Hill Pediatrics and Adolescents Medicine, LLC | Pediatrics | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 045840 | CT | Yes |
Addresses
Primary practice location
32 Church Hill Rd
Newtown, CT 06470-1638
Mailing address
32 Church Hill Rd
Newtown, CT 06470-1638
Phone (203) 426-5437
Other practice location 1
22 Old Waterbury Rd
Ste 204
Southbury, CT 06488-3848
Phone (203) 262-4250
Other providers in Newtown, CT
- Sarah Attanasio
- Richard J Auerbach
- Sivan Aulov
- Rachel Marie Babineau
- Umu Kultumi Bah
- Rosa Maria Baldino
- Caitlin M Balint
- Samantha Lee Bangs
- Jill Bargas
- Andrew C Barlow
All providers in Newtown, CT · Pediatrics Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. 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.