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1578560488

NPI Code Detail

MEDICARE: SCOTT P. CORKINS MD

MEDICARE: SCOTT P. CORKINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	231814	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	496301	OTHER		TUFTS AND TUFTS MEDICARE PREFERRED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	157560488	OTHER		FALLON HEALTH CARE
2	J42102	OTHER	MA	BLUE CROSS
4	7319682	OTHER		AETNA
5	042297845	OTHER		TRICARE
6	042297845	OTHER		UNITED HEALTH CARE
7	8511963	OTHER		CIGNA
8	042297845	OTHER		PHCS/MULTI-PLAN
9	042297845	OTHER		GIC/UNICARE
10	1578560488	OTHER		GREAT WEST HEALTH CARE
11	042297845	OTHER		HCVM/FIRST HEALTH/COVENTRY
12	110077649A	OTHER	MA	MASSHEALTH
13	1578560488	OTHER		NEIGHBORHOOD HEALTH PLAN
14	AA95101	OTHER	MA	HARVARD PILGRIM

General Provider Information

NPI Number	:	1578560488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT P. CORKINS MD

Provider Business Mailing Address
First Line	:	143 LONGWATER DR
Second Line	:	SOUTH SHORE MEDCAL CENTER, INC
City	:	NORWELL
State	:	MA
Zip	:	02061-1683
Country	:	US
Telephone Number	:	781-878-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	143 LONGWATER DR
Second Line	:	SOUTH SHORE MEDCAL CENTER, INC
City	:	NORWELL
State	:	MA
Zip	:	02061-1683
Country	:	US
Telephone Number	:	781-878-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	01/09/2014

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Directions to “ SCOTT P. CORKINS MD” Practice Location

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