Christa Carman Corn, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

18489 Issued in AZ

Practice address

333 W Thomas Rd
Suite 203
Phoenix, AZ 85013-4417

Phone

(602) 246-8666

Fax

(602) 246-6082

NPI assigned

Sep 19, 2005

Sex

Female

Sole proprietor

Yes

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christa Corn, MD, PLLC

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1487796637
  NPD Authorized official
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1336472448
  Medicare reassignment
• Vascular Consulting LLC

  • Surgery Physician
  • Phoenix, AZ
  • NPI 1316654247
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1295720985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W BOCA RATON RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236250",
            "telephone_number": "602-246-8666",
            "fax_number": "602-246-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W THOMAS RD",
            "address_2": "SUITE 203",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134417",
            "telephone_number": "602-246-8666",
            "fax_number": "602-246-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORN",
        "first_name": "CHRISTA",
        "middle_name": "CARMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "18489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Michael Corey
• Tobriah Lee Marie Corfield-Lovegren, CNM/NP
• Meredith Corley, LMT
• Michael Jerome Corley, MD
• Eugenia Cormier, FNP-C
• Lorraine Corn, SLPA
• Santiago M Cornejo, MD
• Camille Cornelious, LAC
• Cayce Cornelius, RBT
• Kayla Ann Cornelius, FNP-BC

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.