Active NPI
Michael L Corriveau, MD
- Pulmonary Disease Physician
- Columbus, OH
National Provider Identifier
1841274925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35060458
- Practice address
- 745 West State St
Ste 510
Columbus, OH 43222-1515 - Phone
- (614) 464-0788
- Fax
- (614) 464-0295
- NPI assigned
- Dec 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 35060458 | OH | Primary |
Addresses
Primary practice location
745 West State St
Ste 510
Columbus, OH 43222-1515
Mailing address
745 West State St
Ste 510
Columbus, OH 43222-1515
Phone (614) 464-0788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0841398 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Pulmonary Disease Inc | Pulmonary Disease | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Columbus, OH
- NPI 1720062805
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1841274925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 WEST STATE ST",
"address_2": "STE 510",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221515",
"telephone_number": "614-464-0788",
"fax_number": "614-464-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 WEST STATE ST",
"address_2": "STE 510",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221515",
"telephone_number": "614-464-0788",
"fax_number": "614-464-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRIVEAU",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35060458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0841398",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.