KELLY ANN CORCORAN (NPI# 1326391509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326391509 |
| Entity Type | Individual |
| Full Name | KELLY ANN CORCORAN |
| Credential | PA-C |
| Practice Address |
5520 Cheviot Rd Cincinnati OH 45247 |
| Mailing Address |
236 Newpine Dr Cleves OH 45002-2383 |
| Practice Telephone | 5138531300 |
| Mailing Telephone | 5136083532 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.005109RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
C04907 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10500 Montgomery Rd, Cincinnati, OH 452424402 | 5138651111 | |
| 6934 Aviation Blvd, Ste. B, Glen Burnie, MD 210612593 | 4439490814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273409 | Kelly N Corcoran | Occupational Therapist | 339 E Maple St, North Canton, OH 44720-2593 | 2018-01-26 |
| 1811015365 | Kelly J Corcoran | Pharmacist | 13201 Rittenhouse Dr, Midlothian, VA 23112-6245 | 2007-03-26 |
| Street Address |
5520 CHEVIOT RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415329 | Leanne S Budde | Internal Medicine | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2005-08-23 |
| 1629569074 | Denise Virginia Johnson | Physical Therapist | 5520 Cheviot Rd, Cincinnati, OH 45247 | 2018-05-22 |
| 1982112082 | Nancy W Schmidt | Dietitian, Registered | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2018-01-11 |
| 1215448832 | Heather M Bennett | Nurse Practitioner | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2017-10-23 |
| 1467994525 | Tiffany Sparhawk | Nurse Practitioner | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2016-11-07 |
| 1164838702 | Sapna Fitch | Physician Assistant | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2014-07-03 |
| 1972856789 | Kathi Eileen Reynolds | Clinical Nurse Specialist | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2012-10-17 |
| 1932455896 | Samer Alsidawi | Internal Medicine | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2012-07-30 |
| 1699030130 | Gretchen Todd | Clinical Nurse Specialist | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2012-07-11 |
| 1972890895 | Brian Singeltary | Internal Medicine | 5520 Cheviot Rd, Cincinnati, OH 45247-7069 | 2011-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1508340696 | Samantha Hastie Wheeler | Physician Assistant | 8099 Cornell Rd Ste 100, Cincinnati, OH 45249-2231 | 2018-09-24 |
| 1134653314 | Ashley E Hefner | Physician Assistant | 10506 Montgomery Rd., Suite 209, Cincinnati, OH 45242 | 2017-04-14 |
| 1912370545 | Sarah H Wilson | Physician Assistant | 4421 Eastgate Blvd Ste 300, Cincinnati, OH 45245-4501 | 2015-11-04 |
| 1790189090 | Kaycie Klausing | Physician Assistant | 4685 Forest Ave Ste C, Cincinnati, OH 45212-3359 | 2014-10-15 |
| 1578871935 | Brittany L Wilson | Physician Assistant | 12029 Sheraton Ln, Cincinnati, OH 45246 | 2010-09-20 |
| 1346327582 | Deborah M. Wiater | Physician Assistant | 12049 Wesken Ln, Cincinnati, OH 45241-1720 | 2006-11-01 |
| 1497854426 | Laurie Ann Einwald | Physician Assistant | 2925 Vernon Pl Ste 100, Cincinnati, OH 45219-2425 | 2006-09-22 |
| 1700342862 | Steven Haunschild | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219-2364 | 2019-02-13 |
| 1700248374 | Robert Pare | Physician Assistant | 5400 Kennedy Ave, Cincinnati, OH 45213-2664 | 2016-03-23 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
Please comment or provide details below to improve the information on KELLY ANN CORCORAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.