Preventive Medicine in SPRINGFIELD, MO
Last Updated on : Apr 24,2020
THOMAS B. CORSOLINI is a Preventive Medicine provider in SPRINGFIELD, United States. His medical specialization is Preventive Medicine with a focus in Preventive Medicine/Occupational Environmental Medicine.
1255478970 is NPI number of THOMAS B. CORSOLINI.
THOMAS B. CORSOLINI's primary taxonomy code based on NPI Lookup is 2083P0500X with license number 104716. This taxonomy code refers to Preventive Medicine.
THOMAS B. CORSOLINI has more than 15 years of experience.
THOMAS B. CORSOLINI current practice location address is 3520 S CULPEPPER CIRCLE STE. D, SPRINGFIELD, MO. THOMAS B. CORSOLINI can be reached out via phone at 417-882-7500 and via fax at 417-881-2840 .
You can also correspond with THOMAS B. CORSOLINI through mail at mailing address 3520 S CULPEPPER CIRCLE STE. D, SPRINGFIELD, MO, United States. Mailing address contact number is 417-882-7500.
The enumeration date of THOMAS B. CORSOLINI is 31-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 3 years ago.Basic NPI information of THOMAS B. CORSOLINI (NPI 1255478970) is provided below.
Name | THOMAS B. CORSOLINI |
---|---|
National Provider Id (NPI) | 1255478970 |
Entity Type | Individual |
Gender | M |
Credential | MD |
Practice Address | 3520 S CULPEPPER CIRCLE STE. D,
SPRINGFIELD, MO, United States |
Practice Telephone | 417-882-7500 |
Practice Fax Number | 417-881-2840 |
Mailing Address | 3520 S CULPEPPER CIRCLE STE. D ,
SPRINGFIELD, MO, United States |
Mailing Telephone | 417-882-7500 |
Mailing Fax Number | 417-881-2840 |
Enumeration Date | 31-Jan-2007 |
Last Updated Date | 24-Apr-2020 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 2083P0500X | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | 104716 | MO |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation | 104716 | MO |
N | 204R00000X | Electrodiagnostic Medicine | 104716 | MO |
N | 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 104716 | MO |
N | 202C00000X | Independent Medical Examiner | 104716 | MO |
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
206847808 | MEDICAID (05) | MO | |
927263268 | MEDICARE ID-Type Unspecified (04) | MO | MO Mdcr # |
B52212 | MEDICARE UPIN (02) | MO |
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---|---|---|---|---|
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24-Aug-2015 |
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27-Mar-2007 |
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10-Jul-2007 |
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05-Aug-2007 |
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15-Sep-2011 |
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23-Sep-2020 |
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16-May-2014 |
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05-Jul-2005 |
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07-Feb-2018 |
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22-Feb-2021 |
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16-Oct-2019 |
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17-Aug-2020 |
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27-Mar-2009 |
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22-Apr-2014 |
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24-Jan-2023 |
1932504305 | A & M RECOVERY | Community/Behavioral Health | 3322 S CAMPBELL AVE,
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28-Oct-2014 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1255478970 is the NPI number of THOMAS B. CORSOLINI.
What is the specialty for THOMAS B. CORSOLINI?The Specialty of THOMAS B. CORSOLINI is Preventive Medicine.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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