Active NPI
Sydney Marie Corcoran
- Student in an Organized Health Care Education/Training Program
- Dayton, OH
National Provider Identifier
1548934516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3640 Colonel Glenn Hwy.
117 Health Sciences BLDG.
Dayton, OH 45435 - Phone
- (937) 775-3458
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3640 Colonel Glenn Hwy.
117 Health Sciences BLDG.
Dayton, OH 45435
Mailing address
3640 Colonel Glenn Hwy.
117 Health Sciences BLDG.
Dayton, OH 45435
Phone (937) 775-3458
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1548934516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 COLONEL GLENN HWY.",
"address_2": "117 HEALTH SCIENCES BLDG.",
"city": "DAYTON",
"state": "OH",
"postal_code": "45435",
"telephone_number": "937-775-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 COLONEL GLENN HWY.",
"address_2": "117 HEALTH SCIENCES BLDG.",
"city": "DAYTON",
"state": "OH",
"postal_code": "45435",
"telephone_number": "937-775-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "SYDNEY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.