James T Corbett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5180 Issued in AZ

Practice address

1810 Mesquite Ave Ste B
Lake Havasu City, AZ 86403-5886

Phone

(928) 453-4600

NPI assigned

Feb 15, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.corbettpac.p1@direct.nextcare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ferry County Public Hospital District No 1

  dba Ferry County Health

  • Critical Access Hospital
  • Republic, WA
  • NPI 1508899816
  Medicare reassignment
• Ferry County Public Hospital District No 1

  dba Republic Medical Clinic

  • Rural Health Clinic/Center
  • Republic, WA
  • NPI 1184776916
  NPD
• Ferry County Public Hospital District No 1

  dba Curlew Medical Clinic

  • Rural Health Clinic/Center
  • Curlew, WA
  • NPI 1205988219
  NPD
• Burt Faibisoff, MD, PLLC

  • Plastic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1336396761
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972577088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 KLONDIKE RD",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991669701",
            "telephone_number": "509-775-3153",
            "fax_number": "509-775-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MESQUITE AVE STE B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035886",
            "telephone_number": "928-453-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Ros Circle",
            "address_purpose": "LOCATION",
            "city": "Republic",
            "state": "WA",
            "postal_code": "991669785",
            "country_code": "US",
            "telephone_number": "509-775-3153",
            "fax_number": "509-775-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "JAMES",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003454",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8349417",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Convergence Health LLC
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• Tess Cooper
• Andrew Jordan Copeland
• Ryan Cordova
• Cornerstone Family Care, LLC (Comfort Keepers #697)
• Cornerstone Family Healthcare
• Craig Allen Coss, D.C.
• Katelyn Marie Costello, M.A. CF

• Physician Assistant in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.