Active NPI
Porsch Corbett
- Phlebology Physician
- Parkville, MD
National Provider Identifier
1609520881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- 0720219199
- Practice address
- 12 Meteor CT
Parkville, MD 21234-6027 - Phone
- (267) 879-3509
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 0720219199 | PA | Primary |
Addresses
Primary practice location
12 Meteor CT
Parkville, MD 21234-6027
Mailing address
12 Meteor CT
Parkville, MD 21234-6027
Phone (267) 879-3509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0720219199 | PA | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1609520881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 METEOR CT",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212346027",
"telephone_number": "267-879-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 METEOR CT",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212346027",
"telephone_number": "267-879-3509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "PORSCH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": "PA",
"license": "0720219199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.