Individual provider Active NPI

Corazon Aluquin Guerra, MD

  • Psychiatry Physician
  • Easton, PA
National Provider Identifier
1659326437
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD030474E Issued in PA
Practice address
2205 Lehigh St
Easton, PA 18042-3819
Phone
(610) 252-4440
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
MD030474EPAMDPsychiatry Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD030474E PA Primary

Addresses

NPPES NPI Registry

Primary practice location

2205 Lehigh St
Easton, PA 18042-3819

Mailing address

1650 Valley Center Pkwy
Suite 100
Bethlehem, PA 18017-2344
Phone (484) 884-4436

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
108934OtherPAHIGHMARK BLUE SHIELD
260041756OtherPARAILROAD MEDICARE
01139301OtherPACAPITAL
0009618740006MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2008.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1659326437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 VALLEY CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172344",
            "telephone_number": "484-884-4436",
            "fax_number": "484-884-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 LEHIGH ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423819",
            "telephone_number": "610-252-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "CORAZON",
        "middle_name": "ALUQUIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD030474E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "108934",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260041756",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL",
            "identifier": "01139301",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009618740006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.