Organization Active NPI

Corrigan Podiatry Group

  • Foot Surgery Podiatrist
  • Westlake, OH
National Provider Identifier
1952484958
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
36003355C Issued in OH
Legal business name
CORRIGAN PODIATRY GROUP
Practice address
28687 Center Ridge Rd
Westlake, OH 44145-3810
Phone
(440) 871-3400
Fax
(440) 871-3433
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Thomas A Corrigan, DPM
Title
President
Phone
(440) 871-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 36003355C OH Primary

Addresses

Primary practice location

28687 Center Ridge Rd
Westlake, OH 44145-3810

Mailing address

28687 Center Ridge Rd
Westlake, OH 44145-3810
Phone (440) 871-3400

Other identifiers 7

IdentifierTypeStateIssuer
200149025001OtherOHMEDICAL MUTUAL
200149025027OtherOHCARESOURCE
2430382MedicaidOH
000000479599OtherOHANTHEM BLUE CROSS BLUE SHIELD
MEDICARE IS PENDINGOtherOHBRAND NEW PRACTICE
7697230OtherOHCIGNA
DF7284OtherOHMEDICARE RRB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061205000568 OH Part B Supplier - Clinic/Group Practice 8123027968 Receives reassigned benefits from 3 practitioners
Practice locations: Westlake, OH; Lorain, OH; Cleveland, OH; Wellington, OH
O20100930058530 OH DME Supplier - Physician - Podiatry 8123027968 Practice locations: Westlake, OH

National Provider Directory

National Provider Directory

Locations

28687 Center Ridge Rd
Westlake, OH 44145
Phone (440) 835-5511

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1952484958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28687 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453810",
            "telephone_number": "440-871-3400",
            "fax_number": "440-871-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28687 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453810",
            "telephone_number": "440-871-3400",
            "fax_number": "440-871-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIGAN PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-871-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36003355C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "200149025001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "200149025027",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2430382",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000479599",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAND NEW PRACTICE",
            "identifier": "MEDICARE IS PENDING",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7697230",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RRB",
            "identifier": "DF7284",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.