Douglas Thomas Corwin Jr., M.D.

Key facts

NPI: 1699725580
Entity type: Individual (NPI type 1)
Primary specialty: Internal Medicine Physician 207R00000X
License: MD0588557L (PA)
Practice address: 100 Park Place
Ste 209
Washington, PA 15301-5946
Phone: (724) 229-7570
Fax: (724) 229-7571
NPI assigned: May 11, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Balitski Vision PC Optometrist · Monaca, PA · NPI 1891711537

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD0588557L	PA	MD	Internal Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Balitski Vision PC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	MD0588557L	PA	Yes

Addresses

Primary practice location

100 Park Place
Ste 209
Washington, PA 15301-5946

Mailing address

100 Park Place
Ste 209
Washington, PA 15301-5946
Phone (724) 229-7570

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2016.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1699725580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PLACE",
            "address_2": "STE 209",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015946",
            "telephone_number": "724-229-7570",
            "fax_number": "724-229-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PLACE",
            "address_2": "STE 209",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015946",
            "telephone_number": "724-229-7570",
            "fax_number": "724-229-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORWIN",
        "first_name": "DOUGLAS",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD0588557L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

All providers in Washington, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.