THOMAS JACOB CORSON NPI 1265624811

NPI Information

  • NPI: 1265624811
  • Provider Name: THOMAS JACOB CORSON
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 BOISE AVE
    LOVELAND, CO
    ZIP 80538
  • Phone: (970) 635-4071

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NPI Details

Thomas Jacob Corson is a general practice in Loveland, CO with 20 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Thomas Jacob Corson NPI is 1265624811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2000 BOISE AVE
LOVELAND, CO
ZIP 80538-006
Phone: (970) 635-4071
Fax: (970) 635-4177

The NPI 1265624811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 7/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine047701CONNECTICUTNo
2207P00000XEmergency Medicine48063COLORADONo
3208D00000XGeneral Practice48063COLORADONo
4208D00000XGeneral Practice047701CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021193OTHERCOLORADOKAISER COMMERCIAL NUMBER
286452550MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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