Active NPI
Kevin Corrigan
- Emergency Medicine Physician
- O Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2007-00311
- Practice address
- 103 N Oak St
O Fallon, IL 62269-1165 - Phone
- (618) 624-3368
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-115262 | IL | |
| Emergency Medicine Physician | 207P00000X | 2007-00311 | NC | Primary |
Addresses
Primary practice location
103 N Oak St
O Fallon, IL 62269-1165
Mailing address
103 N Oak St
O Fallon, IL 62269-1165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-115262 | Other | IL | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Emergency Medicine
- Education
- Chicago Homeopathic Medical College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569
11840 Southmore Dr
Suite 100
Charlotte, NC 28277-4821
Phone (704) 384-7976
1302 Wesley Chapel Rd
Suite a
Indian Trail, NC 28079-5243
Phone (704) 635-6411
13129 S Tryon St
Suite 120
Charlotte, NC 28278-7915
Phone (980) 337-4662
15235 John J Delaney Dr
Suite B
Charlotte, NC 28277-2846
Phone (704) 243-8937
1530 S Providence Rd
Waxhaw, NC 28173-8313
Phone (704) 627-8365
1600 Highwoods Blvd
Greensboro, NC 27410-2048
Phone (743) 230-6697
179 Williamson Rd
Mooresville, NC 28117-6831
Phone (704) 324-3986
185 Williamson Rd
Mooresville, NC 28117-6831
Phone (844) 266-8268
1977 Cotton Grove Rd
Lexington, NC 27292-5721
Phone (336) 443-6041
201 NC Hwy 9
Black Mountain, NC 28711-3426
Phone (828) 419-1035
2452 Fairlawn CT
Winston Salem, NC 27106-3884
Phone (336) 281-5965
3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571
349 New Leiceser Hwy
Asheville, NC 28806-2046
Phone (828) 463-3238
3836 Corning PL
Charlotte, NC 28216-1224
Phone (704) 317-2108
4304 Park Rd
Charlotte, NC 28209-2271
Phone (704) 272-3395
445 S Kings Dr
Charlotte, NC 28204-3041
Phone (980) 308-0141
50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535
5303 Poplar Tent Rd
Suite 90
Concord, NC 28027-9720
Phone (980) 866-4493
5870 Samet Dr
High Point, NC 27265-3646
Phone (336) 803-7311
674 Merrimon Ave
Suite 101
Asheville, NC 28804-3586
Phone (828) 348-7418
794 S Main St
Suite B
Kernersville, NC 27284-4074
Phone (336) 904-2317
8450 Park Rd
Charlotte, NC 28210-5801
Phone (980) 308-0143
910 E Innes St
Salisbury, NC 28144-4638
Phone (844) 266-8268
9121 Sam Furr Rd
Suite 108
Huntersville, NC 28078-8235
Phone (704) 324-3590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-115262 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| True North Health Navigation LLC | Emergency Medicine | Current | Accepting new patients |
| Lakeside Integrative Healthcare PC | Current | Accepting new patients | |
| Wake Forest Emergency Providers | Current | Accepting new patients | |
| Dispatchhealth, PC | Emergency Medicine | Current | Accepting new patients |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Current | Accepting new patients |
| HSHS Holy Family Hospital Inc | Past | Accepting new patients | |
| Emergency Medicine Physicians of Davidson County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Gaston County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Iredell County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300
920 Church St N
Concord, NC 28025
Phone (704) 403-3000
4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040
Interoperability endpoints
- kevin.corrigan.1@13869.direct.athenahealth.com
- kcorrigan1032669@direct.novanthealth.org
Organizations & group practices 11
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.
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1760950646
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1932714284
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
-
- Multi-Specialty Clinic/Center
- Statesville, NC
- NPI 1396216735
-
- Physical Medicine & Rehabilitation Physician
- Cornelius, NC
- NPI 1497549380
-
- Urgent Care Clinic/Center
- Asheville, NC
- NPI 1235014796
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1093343501
-
- Registered Dietitian
- Greenville, IL
- NPI 1558383968
-
- Emergency Medicine Physician
- Lexington, NC
- NPI 1629017504
-
- Emergency Medicine Physician
- Gastonia, NC
- NPI 1003855941
-
- Emergency Medicine Physician
- Statesville, NC
- NPI 1104151109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1841385531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N OAK ST",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N OAK ST",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691165",
"telephone_number": "618-624-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRIGAN",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-115262",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2007-00311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "036-115262",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.