Provider Demographics
NPI:1538157680
Name:CORRIGAN, JAMES PATRICK (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:CORRIGAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 FILBERT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-662-8000
Mailing Address - Fax:602-254-7565
Practice Address - Street 1:3801 FILBERT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-662-8000
Practice Address - Fax:602-254-7565
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ2644207Q00000X
PAOS005841L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ01-00789OtherUNITED HEALTHCARE
AZ2Z1198OtherHEALTH NET
AZ095712Medicaid
AZ1286425OtherCIGNA
AZAZ0224080OtherBLUE CROSS BLUE SHIELD
AZ555073OtherAETNA
AZ2Z1198OtherHEALTH NET
AZDO2644Medicare ID - Type Unspecified