Provider Demographics
NPI:1558363374
Name:CORWIN, JAMES G (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:CORWIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3805 EDWARDS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1900
Mailing Address - Country:US
Mailing Address - Phone:513-871-5900
Mailing Address - Fax:513-871-5970
Practice Address - Street 1:3805 EDWARDS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1900
Practice Address - Country:US
Practice Address - Phone:513-871-5900
Practice Address - Fax:513-871-5970
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2020-10-23
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Provider Licenses
StateLicense IDTaxonomies
OH35060948207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0666784Medicaid
OH0666784Medicaid