VICTOR ALAN CORBETT (NPI# 1578526315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578526315 |
| Entity Type | Individual |
| Full Name | VICTOR ALAN CORBETT |
| Credential | MD |
| Practice Address |
255 Smith Ave N Suite 100 Saint Paul MN 55102-2572 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6512415000 |
| Practice Fax Number | 6512417678 |
| Mailing Telephone | 6512625000 |
| Mailing Fax Number | 6512414258 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
19136 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 653577100 | 05 |
| Street Address |
255 SMITH AVE N SUITE 100 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326027954 | Brian Alan Swiglo | Internal Medicine | 255 Smith Ave N, Suite 100 United Medical Specialties St Paul, Saint Paul, MN 55102-2572 | 2006-01-12 |
| 1114372612 | Crystal Rudell | Nurse Practitioner | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102 | 2016-05-03 |
| 1326338773 | Ashlie Ann Bondarenko | Registered Nurse | 255 Smith Ave N, Saint Paul, MN 55102-2572 | 2011-04-19 |
| 1548574585 | Andrew Louis Zumbach | Nurse Practitioner | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2010-08-02 |
| 1447323407 | Maria Joseph Wagner | Spec/Tech, Cardiovascular | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-11-16 |
| 1548347594 | Prasanthi Meagher | Internal Medicine | 255 Smith Ave N, #100, Saint Paul, MN 55102-2572 | 2006-11-01 |
| 1275648537 | Mary Margaret Mcmahon Bullis | Registered Nurse | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-08-20 |
| 1659486728 | Karin Ann Engstrand | Registered Nurse | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-08-20 |
| 1417061029 | Irene Carolyn Detviler | Registered Nurse | 255 Smith Ave N, Saint Paul, MN 55102-2572 | 2006-08-19 |
| 1730294067 | Linda Louise Petersen | Registered Nurse | 255 Smith Ave N, Suite 200, Saint Paul, MN 55102-2572 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1326027954 | Brian Alan Swiglo | Internal Medicine | 255 Smith Ave N, Suite 100 United Medical Specialties St Paul, Saint Paul, MN 55102-2572 | 2006-01-12 |
| 1568844587 | Jutarat Sangtian | Internal Medicine | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2015-06-25 |
| 1326134214 | Kevin J Sheridan | Internal Medicine | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-10-05 |
| 1972557908 | Luke E Benedict | Internal Medicine | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-05-22 |
| 1154382927 | James J Wiberg | Internal Medicine | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-03-31 |
| 1215996954 | Munir Abid | Internal Medicine | 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1538395496 | Jacklyn Mae Ellickson | Internal Medicine | 401 Phalen Bl Vd, Ms 41103d, St Paul, MN 55130-5302 | 2009-06-05 |
| 1821245960 | Columba Alphonsus Gorman | Internal Medicine | 2607 Merrihills Dr Sw, Rochester, MN 55902-1168 | 2008-08-20 |
| 1861547382 | Lawrence D Schuster | Internal Medicine | 4999 France Ave S Ste 255, Minneapolis, MN 55410-1734 | 2007-01-24 |
| 1497804496 | Christopher Mark Schoonover | Internal Medicine | 255 Smith Avenue No #100, United Medical Specialties, St. Paul, MN 55102 | 2007-01-09 |
| 1235225160 | Charles John Billington | Internal Medicine | Minneapolis Vamc, Metabolic Section (111g), One Veterans Drive, Minneapolis, MN 55417 | 2006-10-05 |
| 1376651786 | Nacide Ercan-fang | Internal Medicine | Mpls Va Medical Center One Veterans Drive, 111g Endocrine/metabolic, Minneapolis, MN 55417 | 2006-08-26 |
| 1891703005 | Sindhu M. Devani | Internal Medicine | 1900 Centracare Dr #2500, Centracare Clinic- Health Plaza Specialties/endocrinolo, St Cloud, MN 56303 | 2006-08-03 |
| 1508806811 | Sidney Amos Jones | Internal Medicine | 111 Hundertmark Rd Ste 115n, Chaska, MN 55318-1584 | 2006-06-07 |
| 1679532022 | Thomas William Laedtke | Internal Medicine | 7701 York Ave S, Suite 180, Edina, MN 55435 | 2006-03-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.