Individual provider Active NPI

Hector R Corzo, M.D.

  • Psychiatry Physician
  • Pinellas Park, FL
National Provider Identifier
1831272046
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0035773 Issued in FL
Practice address
7955 66TH St
Ste.D
Pinellas Park, FL 33781-2161
Phone
(727) 541-3362
Fax
(727) 544-4015
NPI assigned
Oct 23, 2006
Last updated
Apr 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0035773 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME0035773 FL

Addresses

Primary practice location

7955 66TH St
Ste.D
Pinellas Park, FL 33781-2161

Mailing address

7955 66TH St
Ste.D
Pinellas Park, FL 33781-2161
Phone (727) 541-3362

Other identifiers 2

IdentifierTypeStateIssuer
62240OtherFLBLUE CROSS BLUE SHIELD
039609500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100804000541 FL Practitioner - Psychiatry 6709874050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Chicago College of Medicine and Surgery, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7955 66TH St N
Suite D
Pinellas Park, FL 33781-2161
Phone (727) 541-3362

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0035773FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Hector Corzo MD PA Psychiatry CurrentSince Dec 1, 2003 Accepting new patients

Locations

11254 58th St N
Pinellas Park, FL 33782
Phone (727) 362-4318

6791 49th St N
Pinellas Park, FL 33781
Phone (727) 545-8797

7955 66th St N
Pinellas Park, FL 33781
Phone (727) 541-3362

7955 66th St N
Ste C
Pinellas Park, FL 33781
Phone (727) 541-3362

7955 66th St N
Ste D
Pinellas Park, FL 33781
Phone (727) 541-3362

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hcorzo188809@orlandohealth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1831272046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 66TH ST",
            "address_2": "STE.D",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812161",
            "telephone_number": "727-541-3362",
            "fax_number": "727-544-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 66TH ST",
            "address_2": "STE.D",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812161",
            "telephone_number": "727-541-3362",
            "fax_number": "727-544-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORZO",
        "first_name": "HECTOR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0035773",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0035773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "62240",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039609500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.