J Russell Corcoran in Wakefield - Geriatric Medicine
J Russell Corcoran - NPI 1689661241
J Russell Corcoran is a Geriatric Medicine in Wakefield, Rhode Island. J Russell Corcoran practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for J Russell Corcoran is 1689661241. The last update date is 2015-08-07.
J Russell Corcoran's current location address is 100 Kenyon Ave, Wakefield, Rhode Island. You can contact this provider via phone number 4017883929. The mailing address for J Russell Corcoran is 100 Kenyon Ave, Wakefield, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J Russell Corcoran |
|---|---|
| Address | 100 Kenyon Ave, Wakefield, Rhode Island |
| Phone Number | 4017883929 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689661241 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2015-08-07 |
Provider Mailing Address Detail
| Address | 100 Kenyon Ave |
|---|---|
| City | Wakefield |
| State | Rhode Island (RI) |
| Post Code | 28794216 |
| Phone Number | 4017883929 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | MD06582 |
|
Definition: 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 of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9002371 | RI | -- | |
| 7056627 | MEDICARE |
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What is the unique identifier code issued to J Russell Corcoran by the Centers for Medicare & Medicaid Services?
The J Russell Corcoran has been assigned the NPI (National Provider Identifier) 1689661241. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where J Russell Corcoran's facilities are situated?
The facilities of J Russell Corcoran are physically located at the following address: 100 Kenyon Ave, Wakefield, RI, 28794216.
What is J Russell Corcoran's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for J Russell Corcoran is Geriatric Medicine, and the taxonomy code that classifies this field of practice is 207Rg0300X.
On what date did J Russell Corcoran receive its 1689661241 assignment from the Centers for Medicare & Medicaid Services?
The J Russell Corcoran was assigned its 1689661241 on 2005-09-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding J Russell Corcoran most recently updated?
The details pertaining to the J Russell Corcoran, including its address, specialty, and other relevant information, were last refreshed on 2015-08-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY