Organization Active NPI

Wendy Kinsey Corning, M.D., LLC

  • Gynecology Physician
  • Bloomington, IN
National Provider Identifier
1982736062
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
01044201 Issued in IN
Legal business name
WENDY KINSEY CORNING, M.D., LLC
Practice address
383 S Park Ridge Rd
Suite 102
Bloomington, IN 47401-8574
Phone
(812) 330-5250
Fax
(812) 330-5240
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wendy Kinsey Corning, M.D.NPI 1982780656
Title
Owner
Phone
(812) 330-5250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 01044201 IN Primary

Addresses

Primary practice location

383 S Park Ridge Rd
Suite 102
Bloomington, IN 47401-8574

Mailing address

383 S Park Ridge Rd
Suite 102
Bloomington, IN 47401-8574
Phone (812) 330-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070404000594 IN Part B Supplier - Clinic/Group Practice 2860596582 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomington, IN

National Provider Directory

National Provider Directory

Locations

383 S Park Ridge Rd
#102
Bloomington, IN 47401
Phone (812) 330-5250

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982736062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 S PARK RIDGE RD",
            "address_2": "SUITE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018574",
            "telephone_number": "812-330-5250",
            "fax_number": "812-330-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 S PARK RIDGE RD",
            "address_2": "SUITE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018574",
            "telephone_number": "812-330-5250",
            "fax_number": "812-330-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY KINSEY CORNING, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNING",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "KINSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-330-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01044201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.