Corey Tait Eastham Sours, R.T. (R)(CT)(ARRT)

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

510729 Issued in CO

Practice address

2121 North Ave
Grand Junction, CO 81501-6428

Phone

(970) 242-0731

NPI assigned

Nov 17, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1043724693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 PINTAIL AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046215",
            "telephone_number": "970-623-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NORTH AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016428",
            "telephone_number": "970-242-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOURS",
        "first_name": "COREY",
        "middle_name": "TAIT EASTHAM",
        "credential": "R.T. (R)(CT)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "510729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Sorensen
• Brooke Sorenson, RN
• Natalie M Sorrentino, BSN, RN
• Jessica Theo Sorrick, NP-C
• Muhanned Soud, MD
• Shala Dawn Sours, NCMT
• Bonnie Souser, CNS
• Debra F. Southers, M.ED.
• Sowash Optometry Group PC
• Jade Chavaliar Sowell-Hundon, ATC

• Diagnostic Radiology Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.