ROBERT JAMES CORLISS


Address: St. Vincent Fmc, 140east Cook St., Portage, WI 53901
Phone: 6086970806

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
14145 WI Allopathic & Osteopathic Physicians

Other Providers ROBERT CORLISS

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

Office Location

Street Address ST. VINCENT FMC, 140EAST COOK ST.
City PORTAGE
State WI
Zip Code 53901

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and state

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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Competitor

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City PORTAGE
Zip Code 53901

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Dataset Information

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.

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