MR. CHARLES DELMER MCCORKLE (NPI# 1568870640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568870640 |
| Entity Type | Individual |
| Full Name | MR. CHARLES DELMER MCCORKLE |
| Credential | FNP |
| Practice Address |
2931 Richmond Rd Texarkana TX 75503-2125 |
| Mailing Address |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 |
| Practice Telephone | 9036143200 |
| Practice Fax Number | 9038387551 |
| Mailing Telephone | 9036143000 |
| Mailing Fax Number | 9036143525 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2015-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
618386 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306976386 | Charles E. Mccorkle | Social Worker | 55 Fruit Street - Wac037, Mgh Social Services, Boston, MA 02114-2696 | 2007-03-07 |
| Street Address |
2931 RICHMOND RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200357 | Cheryl A Clevenger | Family Medicine | 2931 Richmond Rd, Texarkana, TX 75503 | 2005-07-28 |
| 1447574843 | Collom & Carney Clinic Association | Family Medicine | 2931 Richmond Rd, Texarkana, TX 75503-2125 | 2010-03-15 |
| 1548241920 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 2931 Richmond Rd, Texarkana, TX 75503 | 2005-11-11 |
| 1295727477 | Paul D Sarna | Family Medicine | 2931 Richmond Rd, Texarkana, TX 75503-2125 | 2005-08-16 |
| 1386646362 | David E Mckay | Family Medicine | 2931 Richmond Rd, Texarkana, TX 75503-2125 | 2005-08-10 |
| 1013918093 | Wilmer Lynn Reep | Family Medicine | 2931 Richmond Rd, Texarkana, TX 75503-2125 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870892 | Melissa Michelle Wilson | Nurse Practitioner | 2602 Saint Michael Dr Ste 302a, Texarkana, TX 75503-2387 | 2020-08-02 |
| 1558919365 | Angela Michelle Savell | Nurse Practitioner | 4192 Satterfield Ln, Texarkana, AR 71854-0552 | 2019-08-27 |
| 1770041691 | Genova L Hansen | Nurse Practitioner | 95 Dyke Thomas Rd, Texarkana, TX 75501-2104 | 2019-03-10 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1730678483 | Julie Sloan Henderson | Nurse Practitioner | 876 Cummings Ln, Texarkana, TX 75501-2194 | 2018-05-08 |
| 1083116198 | Amanda Michelle Ross | Nurse Practitioner | 3725 Mall Ln, Texarkana, TX 75501-2658 | 2018-03-05 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1326555616 | Mandilyn Kay Cottingham | Nurse Practitioner | 391 Private Road 1223, Texarkana, AR 71854-1459 | 2018-01-08 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1003331356 | Virginia Ann Parker | Nurse Practitioner | 1004 Ele St, Texarkana, TX 75501-3018 | 2017-08-08 |
| Find all providers in TEXARKANA | ||||
Please comment or provide details below to improve the information on MR. CHARLES DELMER MCCORKLE.
| 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.