DR. J RUSSELL CORCORAN MD NPI 1689661241

NPI Information

NPI: 1689661241
Provider Name: DR. J RUSSELL CORCORAN, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
70 KENYON AVE
SUITE 215
WAKEFIELD, RI
ZIP 02879
Phone: (401) 783-0084
Get Directions

DR. J Russell Corcoran, MD is a geriatric medicine internal medicine in Wakefield, RI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. J Russell Corcoran, MD NPI is 1689661241. 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:

70 KENYON AVE
SUITE 215
WAKEFIELD, RI
ZIP 02879-239
Phone: (401) 783-0084
Fax: (401) 782-0005

The NPI 1689661241 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 9/29/2005 and was last updated on 8/7/2015.

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	208M00000X	Hospitalist		MD06582	RHODE ISLAND	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	MD06582	RHODE ISLAND	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	9002371	MEDICAID	RHODE ISLAND
2	050483739	OTHER	RHODE ISLAND	TIN#
3	007056627	OTHER		MEDICARE
4	007059287	MEDICARE PIN	RHODE ISLAND
5	D87111	MEDICARE UPIN	RHODE ISLAND

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »