Susan M Corcoran-Kelly, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

43887 Issued in CO

Practice address

3519 Richmond Dr
Fort Collins, CO 80526-5995

Phone

(970) 204-0300

Fax

(970) 226-9041

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1730103292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 TEAL CT",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805506108",
            "telephone_number": "970-686-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 RICHMOND DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265995",
            "telephone_number": "970-204-0300",
            "fax_number": "970-226-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN-KELLY",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "43887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1246657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Copeland, RN
• Joel Edward Coram, LPC
• Donna Corbett Lewis
• Fawn Lee Corbin, LPC
• Jennifer Corbin
• James R Corcoran, PHD
• Kristina M Cordes, MD
• Eunice Cordoba, M.D.
• Astra Cordrey, CAS
• Gail P Corkern, NP

• Internal Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.