Individual provider Active NPI

Liza M Corkery, PA-C

  • Medical Physician Assistant
  • Phoenixville, PA
National Provider Identifier
1881882843
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053216 Issued in PA
Practice address
826 Main St
Suite 201
Phoenixville, PA 19460-4459
Phone
(610) 415-1100
Fax
(215) 415-1101
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA053216 PA Primary

Addresses

Primary practice location

826 Main St
Suite 201
Phoenixville, PA 19460-4459

Mailing address

826 Main St
Suite 201
Phoenixville, PA 19460-4459
Phone (610) 415-1100

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1881882843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MAIN ST",
            "address_2": "SUITE 201",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-415-1100",
            "fax_number": "215-415-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MAIN ST",
            "address_2": "SUITE 201",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604459",
            "telephone_number": "610-415-1100",
            "fax_number": "215-415-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKERY",
        "first_name": "LIZA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.