CORY WILLARD MEEDER (NPI# 1285964312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285964312 |
| Entity Type | Individual |
| Full Name | CORY WILLARD MEEDER |
| Credential | D.O. |
| Practice Address |
3269 Stockton Hill Rd Kingman AZ 86409-3619 |
| Mailing Address |
863 Pala Mesa Dr Kingman AZ 86409-3923 |
| Practice Telephone | 9282790959 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
005510 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
3269 STOCKTON HILL RD |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578527347 | Jeffrey J Lunn | Anesthesiology | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2006-04-17 |
| 1952765281 | Jonathon Allen Sexton | Student in an Organized Health Care Education/Training Program | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2016-04-13 |
| 1669836284 | Justina Truong | Emergency Medicine | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2016-04-09 |
| 1861854085 | Amina Danishyar | Emergency Medicine | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2016-03-26 |
| 1831555184 | Jill Kristen Lacson | Occupational Therapy Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-12-31 |
| 1417324534 | Bradley Fox | Nurse Practitioner | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-08-24 |
| 1285016394 | Wyatt Randolph Eddy | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-06-25 |
| 1700266350 | Dana Rose-saulibio Bowers | Pharmacist | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-06-08 |
| 1538554746 | Jayson Malufau | Family Medicine | 3269 Stockton Hill Rd, Kingman, AZ 86409 | 2015-04-03 |
| 1033504360 | Brian Jahnny | Emergency Medicine | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205328382 | Darren Keith Johnson | Emergency Medicine | 601 El Dorado St, Kingman, AZ 86401-6224 | 2018-06-04 |
| 1992007439 | Trever Lynn Wilkins | Emergency Medicine | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2010-12-02 |
| 1639195365 | Jose L Gochoco | Emergency Medicine | 2002 N Stockton Hill Rd, Suite 102, Kingman, AZ 86401-4698 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679354 | Arizona Hospitalists, Pllc | Emergency Medicine | 10255 N 43rd St, Phoenix, AZ 85028-4108 | 2020-08-14 |
| 1154898435 | Phoenix Physician Group, LLC | Emergency Medicine | 3430 N. Mountain Ridge, Unit 14, Mesa, AZ 85207 | 2018-10-25 |
| 1396259636 | Fire Medical Billing, LLC | Emergency Medicine | 207 N Gilbert Rd Ste 1, Gilbert, AZ 85234-5812 | 2017-11-22 |
| 1427570753 | Buckskin Fire District | Emergency Medicine | 8500 Riverside Dr, Parker, AZ 85344-7001 | 2017-07-07 |
| 1699040824 | Jennifer Leigh Hissett | Emergency Medicine | Corner of Route N 7 and N 12, Fort Defiance, AZ 86504-0589 | 2012-03-21 |
| 1649478967 | Genna M Cammarata | Emergency Medicine | 36050 N 58th St, Cave Creek, AZ 85331-9162 | 2007-07-09 |
| 1861566226 | Peggy Jean Englebrake | Emergency Medicine | Hwy 160 163, Building Ka2010, Kayenta, AZ 86033-0368 | 2006-11-20 |
| 1285708172 | William Fowler Fulton Jr. | Emergency Medicine | 2557 S Val Vista Dr, Gilbert, AZ 85295-6229 | 2006-11-20 |
| 1477641991 | Lincoln Physician Billing, LLC | Emergency Medicine | 2500 W Utopia Rd Ste 100, Phoenix, AZ 85027-4172 | 2006-10-10 |
| 1891888517 | Alliance Urgent Care Pllc | Emergency Medicine | 9897 W. Mcdowell Rd, Tolleson, AZ 85353 | 2006-10-02 |
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| 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.