MR. TIMOTHY PATRICK CORCORAN (NPI# 1760022057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760022057 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY PATRICK CORCORAN |
| Credential | MSN, RN, FNP-C |
| Practice Address |
6050 Greenfield Rd Ste 101 Dearborn MI 48126-6004 |
| Practice Telephone | 3139459000 |
| Mailing Telephone | 3139459000 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F10190433 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176050 | Timothy J. Corcoran | Optometrist | 1501 State Ave, Coraopolis, PA 15108-2051 | 2005-06-30 |
| 1437172061 | Timothy Albrecht Corcoran | Dentist | 827 Blossom Hill Rd, Suite E-7, San Jose, CA 95123-2701 | 2006-07-25 |
| 1972595155 | Timothy Corcoran | Family Medicine | 238 Brookley Ave, Bolling Afb, DC 20032 | 2005-08-16 |
| Street Address |
6050 GREENFIELD RD STE 101 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154554590 | Assad Sattar | Internal Medicine | 6050 Greenfield Rd Ste 101, Dearborn, MI 48126-6004 | 2009-09-02 |
| 1548723851 | Alexandra Renee Meux | Physician Assistant | 6050 Greenfield Rd Ste 101, Dearborn, MI 48126-6004 | 2019-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497234066 | Tristan Murray | Nurse Practitioner | 5901 Chase Rd, Dearborn, MI 48126-0900 | 2018-08-14 |
| 1811404312 | Tracey Marie Michels | Nurse Practitioner | 3133 S. Telegraph, Dearborn Family Clinic, Dearborn, MI 48124 | 2018-01-05 |
| 1386676195 | Christine Giska Westphal | Nurse Practitioner | 18101 Oakwood, Suite 126, Dearborn, MI 48123-2500 | 2006-07-06 |
| 1285612861 | Andrea Clegg | Nurse Practitioner | 18101 Oakwood Blvd Ste 101, Dearborn, MI 48124-4089 | 2006-01-04 |
| 1730186537 | Ann Marie Edwards | Nurse Practitioner | 18100 Oakwood Blvd Ste 213, Dearborn, MI 48124-4085 | 2005-07-07 |
| 1346871191 | Tamela Lynn Lassila | Nurse Practitioner | 5250 Auto Club Dr Ste 200, Dearborn, MI 48126-2619 | 2020-01-30 |
| 1871124974 | Kimberlee Erison | Nurse Practitioner | 3850 Pelham St, Dearborn, MI 48124-3832 | 2020-01-28 |
| 1225699911 | Andrew Joseph Plaza | Nurse Practitioner | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-06-24 |
| 1639733298 | Stephanie Elizabeth Castaing | Nurse Practitioner | 1537 Monroe St, Dearborn, MI 48124-2842 | 2019-04-29 |
| 1912469701 | Bilal Abdulla | Nurse Practitioner | 5245 Schaefer Rd Ste D, Dearborn, MI 48126-3257 | 2019-04-02 |
| Find all providers in DEARBORN | ||||
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| 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.