ROBERT JAMES CORLISS (NPI# 1740710748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740710748 |
Entity Type | Individual |
Full Name | ROBERT JAMES CORLISS |
Credential | MD |
Practice Address |
St. Vincent Fmc, 140east Cook St. Portage WI 53901 |
Mailing Address |
N 602 County Road T Endeavor WI 53930-9526 |
Practice Telephone | 6086970806 |
Mailing Telephone | 6086970806 |
Enumeration Date | 2017-06-13 |
Last Update Date | 2017-06-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
14145 | WI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407940331 | Robert W. Corliss | Internal Medicine | 5814 Graham Ave, Suite 100, Sumner, WA 98390-2728 | 2006-10-03 |
1952351843 | Robert F Corliss | Pathology | 600 Highland Ave, Madison, WI 53792-0001 | 2006-05-11 |
Street Address |
ST. VINCENT FMC, 140EAST COOK ST. |
City | PORTAGE |
State | WI |
Zip Code | 53901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
1598724106 | Beatriz Somoza-blanco | Family Medicine | 2977 County Road Cx, Portage, WI 53901 | 2006-03-22 |
Find all providers in zip 53901 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740788025 | Cardiac Cin of Milwaukee LLC | Internal Medicine | 310 E Buffalo St Ste 201, Milwaukee, WI 53202-5808 | 2018-01-31 |
1669765681 | Nolan P Machernis | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 474, Milwaukee, WI 53215-3693 | 2011-05-24 |
1437123049 | Harinder Singh Gill | Internal Medicine | 1111 Delafield Street, Suite 215, Waukesha, WI 53188-3403 | 2006-02-13 |
1912998576 | Thomas G Fenske | Internal Medicine | 2801 W. Kinnickinnic River Pkwy., Suite 925, Milwaukee, WI 53215 | 2005-11-02 |
1437660487 | Dr Ayhan Zia Sc | Internal Medicine | 2741 W Layton Ave, Milwaukee, WI 53221-2600 | 2017-10-17 |
1861734014 | Sean Michael Sliman | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2013-03-25 |
1730436817 | Muhammad Shahreyar | Internal Medicine | 3801 Spring St, Mount Pleasant, WI 53405 | 2012-08-08 |
1811216229 | Iyad Azzam | Internal Medicine | 36500 Aurora Dr, Summit, WI 53066 | 2010-05-25 |
1306161500 | Gaurav Tyagi | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2010-03-30 |
1174847867 | Dajun Wang | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2010-03-24 |
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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.