Robert W. Corliss, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00032451 Issued in WA

Practice address

5814 Graham Ave
Suite 100
Sumner, WA 98390-2728

Phone

(253) 863-4474

Fax

(253) 863-4062

NPI assigned

Oct 3, 2006

Last updated

Apr 11, 2012By the provider in NPPES

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

Enrolled in WA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcorlissmd4192@direct.multicare.org

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

• Multicare Health System

  dba Multicare Neurological Surgery

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Multicare Health System

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1326093873

  Internal Medicine

  NPD
• Multicare Health System

  dba MultiCare Deaconess Retail Pharmacy

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1407940331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 GRAHAM AVE",
            "address_2": "SUITE 100",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902728",
            "telephone_number": "253-863-4474",
            "fax_number": "253-863-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 GRAHAM AVE",
            "address_2": "SUITE 100",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902728",
            "telephone_number": "253-863-4474",
            "fax_number": "253-863-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLISS",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00032451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Alan Christiansen, D.D.S
• Christy Christian Ma, LMHC, LLC
• Richard Quint Cockrell, D.C.
• Colton/Christiansen PLLC (Plaza 410 Dental Associates)
• Ronald Frank Conti, D.C.
• Cornerstone Medical Clinic
• Cranedds PLLC (Dental Care of Sumner)
• Mackenzie Cronk
• Alicia Culp, M.A.
• Benigno Waldo A Dagan, MD

• Internal Medicine Physician in Sumner, WA
• Providers in Sumner, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.