Corwin Clinic Surgical Professional Corp
NPI 1356492219 · Specialist · Pueblo, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Corwin Clinic Surgical Professional Corp is a Specialist organization in Pueblo, CO (NPI 1356492219).
Provider details
- NPI number
- 1356492219
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Gary Lane, President(719) 564-0210
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Corwin Clinic Surgical, PC
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2011-03-23
Frequently asked questions
- What is Corwin Clinic Surgical Professional Corp's NPI number?
- Corwin Clinic Surgical Professional Corp's National Provider Identifier (NPI) is 1356492219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Corwin Clinic Surgical Professional Corp?
- Corwin Clinic Surgical Professional Corp is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Corwin Clinic Surgical Professional Corp located?
- Corwin Clinic Surgical Professional Corp's practice location on file with NPPES is 1925 E Orman Ave Ste A109, Pueblo, CO 81004-3555.
- What is Corwin Clinic Surgical Professional Corp's phone number?
- The practice phone number listed in the NPPES registry for Corwin Clinic Surgical Professional Corp is (719) 564-0210.
- Does Corwin Clinic Surgical Professional Corp accept Medicare?
- Corwin Clinic Surgical Professional Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Corwin Clinic Surgical Professional Corp?
- The authorized official listed on Corwin Clinic Surgical Professional Corp's NPPES record is Gary Lane, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Corwin Clinic Surgical Professional Corp's NPI active?
- Yes — Corwin Clinic Surgical Professional Corp's NPI (1356492219) is active in the NPPES registry as of the last update on 2011-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.