Provider Demographics
NPI:1972582658
Name:CORWIN, JEANNE M (MD)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:M
Last Name:CORWIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2802
Mailing Address - Country:US
Mailing Address - Phone:802-448-9787
Mailing Address - Fax:802-448-9787
Practice Address - Street 1:2314 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2802
Practice Address - Country:US
Practice Address - Phone:513-287-6488
Practice Address - Fax:513-287-6496
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35064667207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0226606Medicaid
OH9282432Medicare PIN
OH1053356121Medicare NSC
OH0797641Medicare PIN
OHG22051Medicare UPIN
OH9282431Medicare PIN
OH1023053170Medicare NSC