Christine Summers Corso, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9107474 Issued in FL

Practice address

1514 Nira St
Jacksonville, FL 32207-8652

Phone

(904) 384-3613

NPI assigned

Aug 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Christine Marie Summers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ccorso@advantage.emadirect.md

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.

• West Florida Medical Center Clinic PA

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)
• Harbor Hospital

  • Diagnostic Radiology Physician
  • Pasadena, MD
  • NPI 1053438218
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1639503840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 NIRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078652",
            "telephone_number": "904-387-4991",
            "fax_number": "904-384-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 NIRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078652",
            "telephone_number": "904-384-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 3rd St",
            "address_purpose": "LOCATION",
            "city": "Neptune Beach",
            "state": "FL",
            "postal_code": "322665072",
            "country_code": "US",
            "telephone_number": "904-387-4991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORSO",
        "first_name": "CHRISTINE",
        "middle_name": "SUMMERS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SUMMERS",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ana Maria Corregidor, MD
• Philip J. Correia, D.D.S.
• Esther Maria Corrigan, M.D., M.ED.
• Daniel Corristan
• Cara Rowland Corry, PHARMD
• Michael Francis Wayne Corso, DO
• Melissa Pantano Cortes, M.D.
• Sonia P Cortes
• Stefanny Cortes, M.D
• Stephanie Cortes, RN

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.