Individual
JAMES THOMAS CORPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25200 CENTER RIDGE RD, #3500, WESTLAKE, OH 44145
(440) 331-4088
(440) 331-4095
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35070749C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365164
ANTHEM
—
01
—
0113811
UNITED HEALTHCARE
—
05
—
2342503
—
OH
01
—
341783789118
CARESOURCE
—
01
—
5886664
AETNA
—
01
—
F70749
SUMMACARE APEX
—
Enumeration date
02/23/2006
Last updated
05/15/2019
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