Organization
PARAGON CONTRACTING SERVICES LLC
Active
Other names
Paragon Contracting Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D. CORVINI M.D. (PRESIDENT)
(800) 424-3672
Entity
Organization
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7100
Mailing address
PO BOX 634710, CINCINNATI, OH 45263-4710
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105831
—
AL
05
—
529922030
—
AL
01
—
DC7358
MEDICARE TRAVELERS RR - G
—
01
—
F962
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/14/2006
Last updated
09/04/2020
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