Active NPI
Michael Jordan Corum, D.O.
- Orthopaedic Hand Surgery Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- OS015990
- Practice address
- 25 Monument Rd
Ste 290
York, PA 17403-5060 - Phone
- (717) 812-4090
- Fax
- (717) 812-4092
- NPI assigned
- Jun 29, 2010
- Last updated
- Sep 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | OS015990 | PA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | OS015990 | PA |
Addresses
Primary practice location
25 Monument Rd
Ste 290
York, PA 17403-5060
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
25 Monument Rd Ste 200
York, PA 17403-5049
Phone (717) 812-4090
Other practice location 2
1695 Roosevelt Ave Ste B
York, PA 17408-8521
Phone (717) 812-4090
Other practice location 3
2319 S George St
York, PA 17403-5009
Phone (717) 812-4090
Other practice location 4
25 Monument Rd Ste 250
York, PA 17403-5060
Phone (717) 812-4090
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099187200 | Medicaid | MD | |
| 103024377 | Medicaid | PA | |
| PO1801118 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465
25 Monument Rd
York, PA 17403-5073
25 Monument Rd
Suite 145
York, PA 17403-5060
Phone (717) 812-2480
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
37 Monument Rd
Suite 101
York, PA 17403-5023
Phone (717) 851-6454
55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 14 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
25 Monument Rd
Ste 290
York, PA 17403
Phone (717) 741-8220
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
Interoperability endpoints
- mcorum14009@wellspan.direct-ci.com
Organizations & group practices 2
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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1760787576
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1730490210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MONUMENT RD",
"address_2": "STE 290",
"city": "YORK",
"state": "PA",
"postal_code": "174035060",
"telephone_number": "717-812-4090",
"fax_number": "717-812-4092"
}
],
"practiceLocations": [
{
"address_1": "25 Monument Rd Ste 200",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035049",
"country_code": "US",
"telephone_number": "717-812-4090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1695 Roosevelt Ave Ste B",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174088521",
"country_code": "US",
"telephone_number": "717-812-4090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2319 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035009",
"country_code": "US",
"telephone_number": "717-812-4090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 250",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035060",
"country_code": "US",
"telephone_number": "717-812-4090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORUM",
"first_name": "MICHAEL",
"middle_name": "JORDAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "PA",
"license": "OS015990",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "OS015990",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099187200",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103024377",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PO1801118",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.