Susan A Corcoran (NPI# 1902863467, PAC ID# 5698961613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902863467 |
| PAC ID by PECOS | 5698961613 |
| Professional Enrollment ID | I20140210001097 |
| Full Name | Susan A Corcoran |
| Address |
21358 Ne Hwy 99e Aurora OR 97082-9201 |
| Phone Number | 5036786269 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21358 Ne Hwy 99e, Aurora, OR 97082-9201 | 5036786269 | |
| 21358 Ne Hwy 99e, Aurora Family Health and Maternity Care Services LLC, Aurora, OR 97082-9201 | 5036786269 |
| Street Address |
21358 NE HWY 99E |
| City | AURORA |
| State | OR |
| Zip | 97082-9201 |
| City | AURORA |
| Zip Code | 97082 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AURORA + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.