CAROLYN RUTH CORN (NPI# 1225022585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225022585 |
| Entity Type | Individual |
| Full Name | CAROLYN RUTH CORN |
| Credential | M.D. |
| Practice Address |
4050 W Memorial Rd Fl 3 Oklahoma City OK 73120-8382 |
| Mailing Address |
7800 Nw 85th Ter Oklahoma City OK 73132-3385 |
| Practice Telephone | 4056083800 |
| Practice Fax Number | 4056083831 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
11990 | OK | Allopathic & Osteopathic Physicians |
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
11990 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100827670B | 05 | |
| OK | RAILROAD MEDICARE | 060045004 | 01 |
| Street Address |
4050 W MEMORIAL RD FL 3 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364699 | Stacie Jenelle Hanes | Clinical Nurse Specialist | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8358 | 2020-07-24 |
| 1720619687 | Laura Morris | Dietitian, Registered | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2020-01-30 |
| 1699169763 | Ohh Anesthesia, LLC | Anesthesiology | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2015-03-26 |
| 1184030439 | Mark Anderson | Internal Medicine | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2014-07-08 |
| 1497196687 | Richard Helton | Internal Medicine | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2013-07-16 |
| 1831438076 | Rachael Leigh Lippe | Physician Assistant | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2013-02-07 |
| 1760776975 | Blake Morris | Internal Medicine | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2011-06-06 |
| 1528352739 | Loan Nguyen | Internal Medicine | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2011-06-06 |
| 1013144799 | Varun Khanna | Internal Medicine | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2009-06-19 |
| 1902031487 | Michael Koehler | Internal Medicine | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2009-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on CAROLYN RUTH CORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.