| Taylor Gary Corry, CRNA | |
|
1200 W Mohave Rd, La Paz Regional Hospital, Parker, AZ 85344-6349 | |
| (928) 669-7311 | |
| Not Available |
| Full Name | Taylor Gary Corry |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 1200 W Mohave Rd, Parker, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245598671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 179809 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0948 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bingham Memorial Hospital | Blackfoot, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Idaho Anesthesia Associates Pc | 5890957716 | 8 |
| Entity Name | East Idaho Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750651782 PECOS PAC ID: 5890957716 Enrollment ID: O20120509000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Gary Corry, CRNA 3309 Newport Dr, Lake Havasu City, AZ 86406-5551 Ph: (435) 671-6246 | Taylor Gary Corry, CRNA 1200 W Mohave Rd, La Paz Regional Hospital, Parker, AZ 85344-6349 Ph: (928) 669-7311 |
Eric E Sisam, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 | |
William G Borman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 | |
Tricia Buchholz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 |