| Connor Scott Corcoran, MD | |
|
4341 Golden Center Dr Bldg A, Placerville, CA 95667-6260 | |
| (530) 626-1144 | |
| Not Available |
| Full Name | Connor Scott Corcoran |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4341 Golden Center Dr Bldg A, Placerville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205298593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2023004964 (Missouri) | Primary |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Ssm Cardinal Glennon Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Scott Corcoran, MD 4341 Golden Center Dr Bldg A, Placerville, CA 95667-6260 Ph: (530) 626-1144 | Connor Scott Corcoran, MD 4341 Golden Center Dr Bldg A, Placerville, CA 95667-6260 Ph: (530) 626-1144 |
Nancy Warden, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5168 Honpie Rd, Placerville, CA 95667 Phone: 530-387-4321 Fax: 530-672-1507 | |
Sudhakar Rendla, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4341 Golden Center Dr, Placerville, CA 95667 Phone: 530-626-1144 Fax: 505-609-6701 | |
Suzanne Jane Higgins Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4341 Golden Center Dr Bldg A, Placerville, CA 95667 Phone: 530-626-1144 | |
Laura Halliday, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4641 Missouri Flat Rd, Placerville, CA 95667 Phone: 530-626-1144 Fax: 530-626-7146 | |
Ulrich B Hacker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4341 Golden Center Dr, Suite A, Placerville, CA 95667 Phone: 530-626-1144 Fax: 530-626-7146 | |
Karl Nushir Dalal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5168 Honpie Rd, Placerville, CA 95667 Phone: 530-387-4975 |