CORWIN CLINIC SURGICAL, PC
NPI 1356492219
Specialist in Pueblo, CO

Active since January 16, 2007
1925 E ORMAN AVE STE A109, PUEBLO, CO 81004(719) 564-0210(719) 564-9483 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corwin Clinic Surgical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORWIN CLINIC SURGICAL, PC (NPI 1356492219) is a healthcare organization registered as a specialist in Pueblo, Colorado and active in the NPI registry since January 2007. The organization lists Gary E. Lane, President, as its authorized official.

NPPES Registry Identity

NPI1356492219
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCORWIN CLINIC SURGICAL PROFESSIONAL CORP
Location Address1925 E ORMAN AVE STE A109Pueblo, CO 81004-3555
Mailing Address1925 E Orman Ave Ste A109Pueblo, CO 81004-3555 · (719) 564-0210 · Fax (719) 564-9483
Fax(719) 564-9483
Organization SubpartNo
Authorized OfficialGary E. LanePresident · (719) 564-0210
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 23, 2011
NPI 1356492219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1925 E ORMAN AVE STE A109, Pueblo, CO 81004

Other Names 1

Other NameCorwin Clinic Surgical, Pc

Other Identifiers 2

Medicare ID-Type UnspecifiedCK9608CO · Medicare Group Number
Medicaid04011417CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1925 E ORMAN AVE STE A109
PUEBLO, CO 81004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corwin Clinic Surgical Professional Corp's NPI number?

The NPI number for Corwin Clinic Surgical Professional Corp is 1356492219. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is also known as Corwin Clinic Surgical, PC.

Where is Corwin Clinic Surgical Professional Corp located?

Corwin Clinic Surgical Professional Corp is located at 1925 E Orman Ave Ste A109, Pueblo, CO 81004. The listed phone number is (719) 564-0210.

What is Corwin Clinic Surgical Professional Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Corwin Clinic Surgical Professional Corp was last updated on March 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.