Corporate Health Care PSC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

28306 Issued in KY

Legal business name

CORPORATE HEALTH CARE PSC

Practice address

8013 New Lagrange Rd
Suite #5
Louisville, KY 40222-4700

Phone

(502) 425-9930

Fax

(502) 425-0915

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Blum, MDNPI 1720047137

Title

President

Phone

(502) 425-9930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lyndon Family Medicine PSC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Blum, MD

  • Family Medicine Physician
  • Fernandina Beach, FL
  • NPI 1720047137
  NPD (past) Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831397579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8013 NEW LAGRANGE RD",
            "address_2": "SUITE #5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224700",
            "telephone_number": "502-425-9930",
            "fax_number": "502-425-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8013 NEW LAGRANGE RD",
            "address_2": "SUITE #5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224700",
            "telephone_number": "502-425-9930",
            "fax_number": "502-425-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE HEALTH CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-425-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "28306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL PROVIDER",
            "identifier": "1720047137",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyndon Family Medicine PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Beth Cornwell, M.D.
• Molly Cornwell
• Steven Cornwell
• Abel J. Coronel, M.D.
• Emma Coronel, M.D.
• Amanda Corrado, PTA
• Christopher Corrales, DO
• Craig Steven Correia Jr., DMD
• Amanda Correll-Begley, COTA
• Cynthia A Corrigan, M.D.

• Adult Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.