LAINA KORYAKOS PA-C NPI 1447979356

NPI Information

  • NPI: 1447979356
  • Provider Name: LAINA KORYAKOS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16841 N 31ST AVE STE 130
    PHOENIX, AZ
    ZIP 85053
  • Phone: (602) 491-0703

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NPI Details

Laina Koryakos, PA-C is a medical physician assistant in Phoenix, AZ with 5 years of experience. Laina Koryakos, PA-C NPI is 1447979356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduation Year:2021

The provider's business location address is:

16841 N 31ST AVE STE 130
PHOENIX, AZ
ZIP 85053-051
Phone: (602) 491-0703
Fax: (833) 431-2257

The NPI 1447979356 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 8/24/2022 and was last updated on 4/10/2023.

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
1363AM0700XPhysician AssistantMedicalARIZONAYes
2363AM0700XPhysician AssistantMedicalNo

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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