DR. MARTHA ELLEN CORCORAN (NPI# 1063487825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063487825 |
| Entity Type | Individual |
| Full Name | DR. MARTHA ELLEN CORCORAN |
| Credential | M.D. |
| Practice Address |
2702 Low Ct Fairfield CA 94534-9771 |
| Mailing Address |
10470 Old Placerville Rd #100 Sacramento CA 95827-2539 |
| Practice Telephone | 7074274900 |
| Mailing Telephone | 8666810736 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G064295 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G642950 | 05 |
| Street Address |
2702 LOW CT |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-9771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960966 | Marlene H Freeman | Obstetrics & Gynecology | 2702 Low Ct, Dept of Ob/gyn, Fairfield, CA 94534-9771 | 2006-02-09 |
| 1932664893 | Jessica Mary Dillon | Nurse Practitioner | 2702 Low Ct, Fairfield, CA 94534-9771 | 2019-02-05 |
| 1053891341 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 2702 Low Ct, Fairfield, CA 94534-9771 | 2018-08-16 |
| 1740631753 | Vanessa-june Ruthchiet Pontillas | Nurse Practitioner | 2702 Low Ct, Fairfield, CA 94534-9771 | 2016-06-30 |
| 1275910291 | Ann Leu Thomas | Ophthalmology | 2702 Low Ct, Fairfield, CA 94534-9771 | 2015-04-28 |
| 1891039301 | Allison Elise Ringuette | Physical Therapist | 2702 Low Ct, Fairfield, CA 94534-9771 | 2012-11-21 |
| 1639425721 | Jennifer Marie Longoria | Occupational Therapy Assistant | 2702 Low Ct, Fairfield, CA 94534-9771 | 2012-07-26 |
| 1881952737 | Frances Lee | Internal Medicine | 2702 Low Ct, Fairfield, CA 94534 | 2012-04-29 |
| 1184993289 | Kristen Mary Judson | Physical Therapist | 2702 Low Ct, Fairfield, CA 94534-9771 | 2011-12-19 |
| 1336432384 | Michele Dernay | Physician Assistant | 2702 Low Ct, Fairfield, CA 94534-9771 | 2011-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265721013 | Alan Jay Gill | Otolaryngology | 2031 Redding Rd, Fairfield, CT 06824-1708 | 2011-04-01 |
| 1457414021 | Robert Chait Md | Otolaryngology | 2960 Mack Rd Ste 208, Fairfield, OH 45014-5300 | 2006-12-18 |
| 1821080052 | Robert H Chait | Otolaryngology | 2960 Mack Road, Suite 208, Fairfield, OH 45014-5300 | 2005-08-15 |
| 1699044461 | George P. Bauer Md | Otolaryngology | 2960 Mack Rd, Suite 107, Fairfield, OH 45014-5373 | 2011-12-22 |
| 1124319470 | Michael John Pfisterer | Otolaryngology | 2702 Low Ct, Fairfield, CA 94534 | 2011-04-20 |
| 1336309616 | Brent A Feldt | Otolaryngology | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2008-06-11 |
| 1861614067 | Kristin Woodbury | Otolaryngology | 1710 Pennsylvania Ave, Ste D, Fairfield, CA 94533-3549 | 2007-05-03 |
| 1073531356 | Murray Alan Woolf | Otolaryngology | 1710 Pennsylvania Ave, Suite D, Fairfield, CA 94533-3589 | 2006-07-17 |
| 1487696431 | Richard A Levin | Otolaryngology | 1305 Post Rd, Suite 302, Fairfield, CT 06824-6016 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.