Active NPI
Corazon Intano-Arca, M.D.
- General Practice Physician
- Centerline, MI
National Provider Identifier
1821198243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301032630
- Practice address
- 8033 E. Ten Mile
Suite 101
Centerline, MI 48015 - Phone
- (586) 977-2900
- Fax
- (586) 977-2992
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301032630 | MI | Primary |
Addresses
Primary practice location
8033 E. Ten Mile
Suite 101
Centerline, MI 48015
Mailing address
8033 E 10 Mile Rd
Suite 101
Center Line, MI 48015-1427
Phone (586) 977-2900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104294015 | Medicaid | MI | |
| 3506356272 | Other | BCBSM | |
| 4294015 | Medicaid | MI | |
| 3506356272 | Other | MI | BCBSM |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Home MD, PLCC | Past | Accepting new patients | |
| House Call Services LLC | General Practice | Past | Accepting new patients |
| Doctors on Call P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Southfield, MI
- NPI 1992861124
-
- General Practice Physician
- Center Line, MI
- NPI 1174623870
-
- Home Health Agency
- Warren, MI
- NPI 1053392167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1821198243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8033 E 10 MILE RD",
"address_2": "SUITE 101",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151427",
"telephone_number": "586-977-2900",
"fax_number": "586-977-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8033 E. TEN MILE",
"address_2": "SUITE 101",
"city": "CENTERLINE",
"state": "MI",
"postal_code": "48015",
"telephone_number": "586-977-2900",
"fax_number": "586-977-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INTANO-ARCA",
"first_name": "CORAZON",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301032630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104294015",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "3506356272",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4294015",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "3506356272",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.