Corey L Detlefs MD
Corey L Detlefs MD is a healthcare organization registered as Surgery Physician in Phoenix, AZ, holding Type 2 (organization) NPI 1396822482 since 2006. The authorized official on file is Corey Detlefs, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396822482 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Corey L Detlefs MD |
| Practice address | 2320 N 3RD ST, Phoenix, AZ, 85004 |
| Phone | 6023400201 |
| Fax | 6024415115 |
| Enumeration date | 2006-11-01 |
| Last updated in NPPES | 2007-12-06 |
Authorized official
| Name | Corey Detlefs |
|---|---|
| Title | President |
| Phone | 6023400201 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 19043 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140179 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Corey L Detlefs MD NPI: 1396822482 Taxonomy: 208600000X (Surgery Physician) Address: 2320 N 3RD ST, Phoenix, AZ, 85004
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164450367 | Richard Harding | Individual | Surgery Physician | Phoenix, AZ |
| 1003836644 | Charles Castillo | Individual | Surgery Physician | Phoenix, AZ |
| 1396843272 | Arizona Associated Surgeons Pllc | Organization | Surgery Physician | Phoenix, AZ |
| 1881875128 | Joni Mcintyre | Individual | Physician Assistant | Phoenix, AZ |
| 1417139031 | Govind Acharya | Organization | Plastic Surgery Physician | Phoenix, AZ |
| 1346880838 | Arizona Advanced Surgery LLC | Organization | Surgery Physician | Phoenix, AZ |
| 1598540981 | Haley Dible | Individual | Physician Assistant | Phoenix, AZ |
| 1740070465 | Richard J Harding MD PC | Organization | Surgery Physician | Phoenix, AZ |
Verify this record
Cross-check NPI 1396822482 against the authoritative CMS record: view Corey L Detlefs MD on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Corey L Detlefs MD located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-12-06.