Kenneth J Corse II, MD
Individual provider Active NPI Diagnostic Radiology Physician · Plattsburgh, NY
NPI 1962433441 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1962433441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 248381 (NY)
- Practice address
- 16 Degrandpre Way Ste 600
Plattsburgh, NY 12901-6454 - Phone
- (518) 563-0490
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 17
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- State University of Ny Upstate Medical University, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alice Hyde Medical Center
Champlain Valley Physicians Hospital Medical Center
Elizabethtown Community Hospital
Practice addresses (Care Compare)
133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377
Hospital & facility affiliations
- The University of Vermont Health Network - Champl
- Elizabethtown Community Hospital
- The University of Vermont Health Network-Alice Hy
- Adirondack Medical Center - Saranac Lake
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090401000002 | NY | Practitioner - Diagnostic Radiology | 1456327659 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afterhours Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current |
Accepting new patients | |
| Elizabethtown Community Hospital | Current |
Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Current |
Accepting new patients | |
| Cmi Professional Services | Current |
Accepting new patients | |
| BJC Medical Emergency Physicians, LLC | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Past | Accepting new patients | |
| Hartwell Emergency Services, LLC | Past | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients |
Locations
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
16 Degrandpre Way
Ste 600
Plattsburgh, NY 12901
Phone (518) 562-7500
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
101 Adirondack Dr
Ste 1
Ticonderoga, NY 12883
Phone (518) 585-2831
107 Business Park Dr
Utica, NY 13502
Phone (315) 792-4666
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- kcorse473207@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 248381 | NY | Yes |
Addresses
Primary practice location
16 Degrandpre Way Ste 600
Plattsburgh, NY 12901-6454
Mailing address
PO Box 2007
East Syracuse, NY 13057-4507
Phone (315) 362-5285
Other providers in Plattsburgh, NY
- Patrick Coppens
- Faith Corey
- Alex Cormier-Lavoie
- Corrinne Marie Corrado
- Erin Corral
- Rebecca Jean Coryea
- Carrie Coryer
- Richard Coryer
- Alexa Marie Cosgro
- Ashley Patricia Cota
All providers in Plattsburgh, NY · Diagnostic Radiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.