Active NPI
Scott J McCorkell, MD
- Diagnostic Radiology Physician
- Mountlake Terrace, WA
National Provider Identifier
1417926791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD00016032
- Practice address
- 6808 220TH St SW
Ste 100
Mountlake Terrace, WA 98043-2122 - Phone
- (425) 744-7420
- Fax
- (425) 670-3378
- NPI assigned
- Mar 17, 2006
- Last updated
- Jan 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD00016032 | WA | Primary |
Addresses
Primary practice location
6808 220TH St SW
Ste 100
Mountlake Terrace, WA 98043-2122
Mailing address
PO Box 94580
Seattle, WA 98124-6880
Phone (952) 542-8553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8600413 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Cancer Centers PC | Past | Accepting new patients | |
| Medical Scanning Consultants PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Diagnostic Radiology Physician
- Federal Way, WA
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-
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- Edmonds, WA
- NPI 1700990918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1417926791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94580",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981246880",
"telephone_number": "952-542-8553",
"fax_number": "952-513-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6808 220TH ST SW",
"address_2": "STE 100",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432122",
"telephone_number": "425-744-7420",
"fax_number": "425-670-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORKELL",
"first_name": "SCOTT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00016032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8600413",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.