Phillip Michael Coram, RN

Primary specialty

Plastic Surgery Registered NurseTaxonomy code 163WS0121X

License

RN080406 Issued in AZ

Practice address

30434 N Palo Brea Dr
Scottsdale, AZ 85262-5401

Phone

(480) 473-2777

Fax

(480) 275-8086

NPI assigned

Aug 2, 2006

Last updated

Sep 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1811904956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30434 N PALO BREA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625401",
            "telephone_number": "480-473-2777",
            "fax_number": "480-275-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30434 N PALO BREA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625401",
            "telephone_number": "480-473-2777",
            "fax_number": "480-275-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORAM",
        "first_name": "PHILLIP",
        "middle_name": "MICHAEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "AZ",
            "license": "RN080406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexander Coracides, NMD
• Jamie Jennette Coracides, PA
• Moses Corbell, DC
• Cleopatra Corcoran
• Jennifer Mary Corcoran, PT
• Brett D Cordes
• Colleen C Cordes, PHD

• Registered Nurse in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.