Provider Demographics
NPI:1427087907
Name:CORN, ROBERT CURTIS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CURTIS
Last Name:CORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR BILLING SERVICES
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:440-646-9636
Mailing Address - Fax:440-995-3816
Practice Address - Street 1:5885 LANDERBROOK DR
Practice Address - Street 2:SUITE 150
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4045
Practice Address - Country:US
Practice Address - Phone:440-646-9636
Practice Address - Fax:440-995-3816
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-039488207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0404806Medicaid
OH0404806Medicaid
OH4205803Medicare PIN