Corwin Clinic Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CORWIN CLINIC FAMILY MEDICINE PLLC

Practice address

1925 E Orman Ave Ste A109
Pueblo, CO 81004-3555

Phone

(719) 564-0210

Fax

(719) 564-9483

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Wendy Alejandra Richmond, MD

Title

Sole Member

Phone

(719) 564-0210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1851788632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 E ORMAN AVE STE A109",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043555",
            "telephone_number": "719-564-0210",
            "fax_number": "719-564-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E ORMAN AVE STE A109",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043555",
            "telephone_number": "719-564-0210",
            "fax_number": "719-564-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORWIN CLINIC FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "719-564-0210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Corral, LPC
• Gina Marie Corsentino
• Angela Cortes
• Chelsey Rae Cortese, NP
• Alexandrea Merie Cortez, FSPS
• Corwin Clinic Surgical Professional Corp
• Megan Corzine
• Judy Costanza
• Prudencio Cosyleon, LCSW
• Adalynn Lanae Cotton

• Family Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.