MR. COREY J MCCANN (NPI# 1477831196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477831196 |
| Entity Type | Individual |
| Full Name | MR. COREY J MCCANN |
| Credential | CANP |
| Practice Address |
1717 Oak Park Blvd Fl 3 Lake Charles LA 70601-8990 |
| Mailing Address |
Po Box 122165 Dept 2165 Dallas TX 75312-2165 |
| Practice Telephone | 3374944900 |
| Mailing Telephone | 3374942948 |
| Mailing Fax Number | 3374942928 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
RN114345 | LA | Nursing Service Providers |
| Street Address |
1717 OAK PARK BLVD FL 3 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524603 | Jeffrey E Balazsy | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2005-11-14 |
| 1538786132 | Morgan Leigh Hay | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2020-06-30 |
| 1659884385 | Kathryn Olivia Zimmerman | Physician Assistant | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2017-11-16 |
| 1033659156 | Amanda Kate Dawson | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2017-03-08 |
| 1790237568 | Cascio Consulting LLC | Non-Pharmacy Dispensing Site | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2016-10-27 |
| 1982065462 | Colin Ross Hidalgo | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2016-03-11 |
| 1760896625 | Collin Bowe | Internal Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-06-18 |
| 1689088957 | Syed Muhammad Ali Saad | Family Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-06-16 |
| 1043621089 | Hailey Crawford | Dietitian, Registered | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-05-13 |
| 1790196616 | Tristan Montrale Washington | Family Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861783417 | Senia Timothy Fontenot | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2011-04-29 |
| 1922018167 | Timothy Eric Vanwinkle | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2006-08-09 |
| 1578587804 | John Wayne Kuehn | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2006-07-27 |
| 1376567602 | Leon Ware Prejean | Registered Nurse | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652928 | Charla Johnson | Registered Nurse | 9346 S Hodgeson Rd, Gonzales, LA 70737-8429 | 2020-05-29 |
| 1265716435 | Anthony Robert Mancuso Jr. | Registered Nurse | 4682 Drusilla Dr, Baton Rouge, LA 70809-6947 | 2011-10-05 |
| 1215576590 | Ethan Anthony Reulet | Registered Nurse | 601 River Highlands Blvd Ste 200, Covington, LA 70433-8913 | 2020-01-03 |
| 1710362686 | Amanda Jean Duncan | Registered Nurse | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2015-07-21 |
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on MR. COREY J MCCANN.
| 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.