PRUDENCIO C CORRO MD
NPI 1740238765
Otolaryngology - Otolaryngic Allergy in Glen Morgan, WV

Active since May 04, 2006PECOS Enrolled
673 RITTER DR, GLEN MORGAN, WV 25813(304) 252-0775(304) 255-6688 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2020, Dec 4, 2020 (2 updates tracked since 2020).

About Prudencio C Corro Md NPPES

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

PRUDENCIO C CORRO MD (NPI 1740238765) is an individual otolaryngic allergy provider in Glen Morgan, West Virginia, licensed in West Virginia (9578) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740238765
Entity TypeIndividualMale
Primary Taxonomy207YX0602X
Provider Legal NamePRUDENCIO C CORROCredential: MD
Location Address673 RITTER DRGlen Morgan, WV 25813-7707
Mailing Address673 Ritter DrGlen Morgan, WV 25813-7707 · (304) 252-0775 · Fax (304) 255-6688
Fax(304) 255-6688
Sole ProprietorYes
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
NPI 1740238765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngic AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0602X
License Licensed in WV · 9578
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 5862 (WV), 9578 (WV)
673 RITTER DR, Glen Morgan, WV 25813

Other Identifiers 1

Medicaid0101068000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Prudencio C Corro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Audiologist
673 RITTER DR
GLEN MORGAN, WV 25813

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 Prudencio Corro's NPI number?

The NPI number for Prudencio Corro is 1740238765. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Prudencio Corro located?

Prudencio Corro practices at 673 Ritter Dr, Glen Morgan, WV 25813. The listed phone number is (304) 252-0775.

What is Prudencio Corro's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.

Is Prudencio Corro enrolled in Medicare?

Yes. Prudencio Corro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prudencio Corro was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.