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NPI Code Detail

MEDICARE: DR. CYNTHIA A CORRIGAN M.D.

MEDICARE: DR. CYNTHIA A CORRIGAN M.D.
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
1207ZB0001XBlood Banking & Transfusion Medicine Physician25223KY
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician25223KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00425443OTHERKYMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150015855OTHERKYPASSPORT
3000000537871OTHERKYANTHEM
42873451000OTHERKYPASSPORT ADVANTAGE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629071006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA A CORRIGAN M.D.
Provider Business Mailing Address
First Line : 1941 BISHOP LN STE 1018
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-1928
Country : US
Telephone Number : 502-456-6211
Fax Number : 502-456-4440
Provider Business Practice Location Address
First Line : 1850 BLUEGRASS AVE
Second Line : PATHOLOGY DEPT
City : LOUISVILLE
State : KY
Zip : 40215-1161
Country : US
Telephone Number : 502-456-6212
Fax Number : 502-456-4440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 02/19/2021

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