Active NPI
Patricia Diane Corbin, PA-C
- Physician Assistant
- Bruceton Mills, WV
National Provider Identifier
1891804902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA001604-L
- Practice address
- 1640 Skyview Drive
Usp Hazelton Health Services
Bruceton Mills, WV 26525 - Phone
- (304) 379-5000
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 29, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA001604-L | PA | Primary |
Addresses
Primary practice location
1640 Skyview Drive
Usp Hazelton Health Services
Bruceton Mills, WV 26525
Mailing address
PO Box 450
Bruceton Mills, WV 26525-0450
Phone (304) 379-5000
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA001604-L | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1891804902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450",
"city": "BRUCETON MILLS",
"state": "WV",
"postal_code": "265250450",
"telephone_number": "304-379-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 SKYVIEW DRIVE",
"address_2": "USP HAZELTON HEALTH SERVICES",
"city": "BRUCETON MILLS",
"state": "WV",
"postal_code": "26525",
"telephone_number": "304-379-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "PATRICIA",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA001604-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bruceton Mills, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.