MEDICARE: DR. MARTHA ELLEN CORCORAN M.D.

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	207Y00000X	Otolaryngology Physician	G064295	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063487825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTHA ELLEN CORCORAN M.D.

Provider Business Mailing Address
First Line	:	10470 OLD PLACERVILLE RD
Second Line	:	#100
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2539
Country	:	US
Telephone Number	:	866-681-0736
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 LOW CT
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-9771
Country	:	US
Telephone Number	:	707-427-4900
Fax Number	:

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	06/12/2015

Similar Medicare Providers

1497980262 — SUTTER VALLEY MEDICAL FOUNDATION
Practice Location Address:

2702 LOW CT
FAIRFIELD, CA
94534-9771

Practice Phone: 707-432-2600
Practice Fax: 707-432-2661

1053891341 — SUTTER VALLEY MEDICAL FOUNDATION
Practice Location Address:

2702 LOW CT
FAIRFIELD, CA
94534-9771

Practice Phone: 707-432-2660
Practice Fax: 707-432-2661

1184859894 — SUTTER VALLEY MEDICAL FOUNDATION
Practice Location Address:

2720 LOW CT
FAIRFIELD, CA
94534-9771

Practice Phone: 707-428-2731
Practice Fax: 707-428-2740

1598738015 — DR. OMAR MTAWEH MURAD M.D.
Practice Location Address:

2720 LOW COURT
FAIRFIELD, CA
94534-9771

Practice Phone: 707-427-4900
Practice Fax: 707-436-2511

1811960966 — DR. MARLENE H FREEMAN M.D.
Practice Location Address:

2702 LOW CT , DEPT OF OB/GYN
FAIRFIELD, CA
94534-9771

Practice Phone: 707-432-2810
Practice Fax: 707-432-2800

1982646154 — ANIT B. PATEL M.D.
Practice Location Address:

2720 LOW CT
FAIRFIELD, CA
94534-9771

Practice Phone: 707-428-2769
Practice Fax: 707-436-2507

Directions to “ DR. MARTHA ELLEN CORCORAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.