Individual provider Active NPI

Jonathan P Corrigan, PA-C

  • Physician Assistant
  • Dublin, OH
National Provider Identifier
1558531475
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-002662 Issued in OH
Practice address
4995 Bradenton Ave Ste 130
Dublin, OH 43017-3551
Phone
(614) 580-6917
NPI assigned
Mar 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA52977 CA
Physician Assistant 363A00000X AMD-592 HI
Physician Assistant 363A00000X 50-002662 OH Primary

Addresses

Primary practice location

4995 Bradenton Ave Ste 130
Dublin, OH 43017-3551

Mailing address

3755 Orange PL Ste 101
Beachwood, OH 44122-4455
Phone (844) 746-8537

Other practice location 1

3755 Orange Pl Ste 101
Beachwood, OH 44122-4455
Phone (844) 746-8537

Other identifiers 1

IdentifierTypeStateIssuer
0079005MedicaidOH

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000594 OH Practitioner - Physician Assistant 3779669007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians
Concord Psychiatry, LLCGroup PAC ID 3577884105, 37 clinicians

Practice addresses (Care Compare)

4995 Bradenton Ave
Suite 130
Dublin, OH 43017-3551
Phone (614) 580-6917

50 Old Village Rd
Suite 109
Columbus, OH 43228-1538
Phone (614) 580-6917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52977CAMDDentist
PA52977CAMDPhysician Assistant
50-002662OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Islands Emergency Medical Service Hawaii, LLC Past Accepting new patients
Wood County Emergency Physicians Inc Past Accepting new patients
Erie Emergency Physicians, Inc. Past Accepting new patients
Lucas County Emergency Physicians Inc Past Accepting new patients
Incare Health Solutions LLC PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 7

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1558531475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 ORANGE PL STE 101",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224455",
            "telephone_number": "844-746-8537",
            "fax_number": "216-450-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 BRADENTON AVE STE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173551",
            "telephone_number": "614-580-6917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3755 Orange Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224455",
            "country_code": "US",
            "telephone_number": "844-746-8537",
            "fax_number": "216-450-1810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52977",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-592",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-002662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.