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Organization

CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION, LLC

Active
Other names
The CORE Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID JOSEPH JACOFSKY MD (MD -CEO)
(866) 974-2673
Entity
Organization

Contact information

Practice address
18444 N 25TH AVE, STE 210, PHOENIX, AZ 85023-1261
(623) 537-5600
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1261
(623) 537-5600
(866) 939-2673

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207XX0801X
Orthopaedic Trauma Physician
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
AZ
208VP0000X
Pain Medicine Physician
AZ
208VP0014X
Interventional Pain Medicine Physician
AZ
213E00000X
Podiatrist
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
AZ
225100000X
Physical Therapist
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
341246
AZ
01
DD0900
RR MEDICARE
AZ
Enumeration date
06/02/2006
Last updated
04/25/2025
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