John Corrado OD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1308ATI Issued in OR

Legal business name

JOHN CORRADO OD INC

Practice address

1000 12TH St
Hood River, OR 97031-1540

Phone

(541) 386-5700

NPI assigned

Feb 27, 2014

Last updated

Feb 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John CorradoNPI 1831265578

Title

Pres

Phone

(541) 386-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Alan Corrado, OD

  • Optometrist
  • Hood River, OR
  • NPI 1831265578
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1942625942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311540",
            "telephone_number": "541-386-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CORRADO OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "541-386-5700"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "1308ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jepson, M.S.W.
• Emily Kate Jimenez, LCSW
• Heidi Jimenez, RN
• Sandra Johansen
• John a Durkan MD PC
• John S Belknap (Mt. Hood Podiatry Hood River)
• John S Belknap DPM Inc (Mt. Hood Podiatry)
• Christina Jensen Johnson, RN
• Taryn Rose Johnston
• Sonja Kay Joplin-Clay

• Primary Care Clinic/Center in Hood River, OR
• Providers in Hood River, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.