Individual
JAMES JOSEPH NORCONK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 SAILFISH RD, VERO BEACH, FL 32960-5279
(208) 415-0524
(208) 763-3644
Mailing address
601 FRONT AVENUE, SUITE #502, COEUR D ALENE, ID 83814
(208) 415-0524
(208) 763-3644
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M9157
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548153
ANTHEM
KY
05
—
010395224
—
VA
05
—
102079746
—
PA
05
—
1154383982
—
VA
05
—
195976901
—
TX
01
—
2017776
HIGHMARK BS
PA
01
—
3323275
MEDICARE 855R
KY
01
—
3425604000
PASSPORT ADVANTAGE
KY
01
—
3810010508
MEDICAID WV
VA
01
—
50017550
PASSPORT KCR
KY
05
—
64116346
—
KY
01
—
91721
SIHO KCR
KY
01
—
P00403960
MEDICARE RAILROAD
VA
Enumeration date
04/05/2006
Last updated
08/26/2009
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