H GARY CORLESS DPM NPI 1609954015

NPI Information

NPI: 1609954015
Provider Name: H GARY CORLESS, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
7315 212TH ST SW
#103
EDMONDS, WA
ZIP 98026
Phone: (425) 775-6996
Get Directions

H Gary Corless, DPM is a podiatrist in Edmonds, WA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. H Gary Corless, DPM NPI is 1609954015. 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:

7315 212TH ST SW
#103
EDMONDS, WA
ZIP 98026
Phone: (425) 775-6996
Fax: (425) 670-8905

The enumeration date for this NPI number is 11/2/2006 and was last updated on 1/10/2008.

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
1	213E00000X	Podiatrist		PO00000139	WASHINGTON	Yes

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
1	9050600	OTHER	WASHINGTON	MEDICAID/DMERC
2	1183409	MEDICAID	WASHINGTON
3	GAB29885	MEDICARE PIN	WASHINGTON
4	U26549	MEDICARE UPIN
5	3914280001	MEDICARE NSC	WASHINGTON
6	0164994	OTHER		L AND I
7	5182CO	OTHER	WASHINGTON	REGENCE RIDER

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: 5/5/2024

NPI Synchronization or Removal

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