MEDICARE: DR. CORBIN VAN DE WEGE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2007018558	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	623949	OTHER	MO	ANTHEM

General Provider Information

NPI Number	:	1174713564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORBIN VAN DE WEGE MD

Provider Business Mailing Address
First Line	:	PO BOX 802843
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-2843
Country	:	US
Telephone Number	:	417-730-6430
Fax Number	:	417-269-7567

Provider Business Practice Location Address
First Line	:	2750 S CAMPBELL AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-3506
Country	:	US
Telephone Number	:	417-269-2281
Fax Number	:	417-269-2292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	02/02/2023

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1396680989 — SHEENA BENDER FNP
Practice Location Address:

2750 S CAMPBELL AVE
SPRINGFIELD, MO
65807-3506

Practice Phone: 417-269-2281
Practice Fax:

1538159421 — ANDREW A. POST DO
Practice Location Address:

2750 S. CAMPBELL
SPRINGFIELD, MO
65807-3506

Practice Phone: 417-269-2281
Practice Fax: 417-883-5466

1538197850 — LESTER E. COX MEDICAL CENTERS
Practice Location Address:

2750 S CAMPBELL AVE
SPRINGFIELD, MO
65807-3506

Practice Phone: 417-269-2281
Practice Fax: 417-269-2292

1356433601 — DR. PHILLIP L MONROE M.D.
Practice Location Address:

2750 S CAMPBELL AVE
SPRINGFIELD, MO
65807-3506

Practice Phone: 417-269-2281
Practice Fax: 417-883-5466

1447324660 — LESTER E COX MEDICAL CENTERS
Practice Location Address:

2750 S CAMPBELL AVE
SPRINGFIELD, MO
65807-3506

Practice Phone: 417-269-2281
Practice Fax: 417-269-2292

Directions to “ DR. CORBIN VAN DE WEGE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.