Individual provider Active NPI

Corinda M Hankins, MD

  • Pediatrics Physician
  • Hood River, OR
National Provider Identifier
1639151376
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD24351 Issued in OR
Practice address
810 13TH St
Hood River, OR 97031-1210
Phone
(541) 386-2300
Fax
(541) 436-4113
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD24351 OR Primary

Addresses

Primary practice location

810 13TH St
Hood River, OR 97031-1210

Mailing address

810 13TH St
Hood River, OR 97031-1210
Phone (541) 386-2300

Other identifiers 2

IdentifierTypeStateIssuer
218112MedicaidOR
277349MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20031222000354 OR Practitioner - Pediatric Medicine 4082512561 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
One Community Health Current Accepting new patients
One Community Health CurrentSince Sep 27, 2016 Accepting new patients
One Community Health CurrentSince Sep 27, 2016 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

849 Pacific Ave
Hood River, OR 97031
Phone (541) 386-6380

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1639151376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311210",
            "telephone_number": "541-386-2300",
            "fax_number": "541-436-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311210",
            "telephone_number": "541-386-2300",
            "fax_number": "541-436-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "CORINDA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD24351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218112",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277349",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.