Active NPI
Robert Corson, M.D.
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1902899545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5414496-1205
- Practice address
- 4465 S 900 E
Ste 200
Salt Lake City, UT 84124-2469 - Phone
- (801) 266-2777
- Fax
- (801) 266-1377
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5414496-1205 | UT | Primary |
Addresses
Primary practice location
4465 S 900 E
Ste 200
Salt Lake City, UT 84124-2469
Mailing address
4465 S 900 E
Ste 200
Salt Lake City, UT 84124-2469
Phone (801) 266-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 25, 2017 through Nov 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Medical Services PC | Past | Accepting new patients | |
| Rosebud Indian Health Service | Past | Accepting new patients | |
| Canyon Care LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- robert.corson.1@13794.direct.athenahealth.com
- robert.corson@104201612558340.direct.elationemr.com
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Alta, UT
- NPI 1740348556
-
- Family Medicine Physician
- Alta, UT
- NPI 1417509860
-
- Ambulatory Surgical Clinic/Center
- Rosebud, SD
- NPI 1790955128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1902899545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 S 900 E",
"address_2": "STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841242469",
"telephone_number": "801-266-2777",
"fax_number": "801-266-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 S 900 E",
"address_2": "STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841242469",
"telephone_number": "801-266-2777",
"fax_number": "801-266-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSON",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "5414496-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.