Individual provider Active NPI

James P Corcoran IV, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1730128091
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4152 Issued in AZ
Practice address
4400 N 32ND St
Ste 110
Phoenix, AZ 85018-3953
Phone
(602) 956-9595
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4152 AZ Primary

Addresses

Primary practice location

4400 N 32ND St
Ste 110
Phoenix, AZ 85018-3953

Mailing address

4400 N 32ND St
Ste 110
Phoenix, AZ 85018-3953
Phone (602) 956-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20061113000435 AZ Practitioner - Family Practice 2567460298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunny View Medical Center PLLCGroup PAC ID 7810952686, 4 clinicians

Practice addresses (Care Compare)

4400 N 32ND St
Suite 110
Phoenix, AZ 85018-3964
Phone (602) 956-9595

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4152AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny View Medical Center, PLLC CurrentSince Sep 1, 2006 Accepting new patients
Sunny View Medical Center PLLC Family Medicine CurrentSince Sep 1, 2006 Accepting new patients

Locations

4400 N 32nd St
Ste 110
Phoenix, AZ 85018
Phone (602) 956-9595

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1730128091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST",
            "address_2": "STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183953",
            "telephone_number": "602-956-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N 32ND ST",
            "address_2": "STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183953",
            "telephone_number": "602-956-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.