DR. KORY CORNUM (NPI# 1588641369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588641369 |
| Entity Type | Individual |
| Full Name | DR. KORY CORNUM |
| Credential | M.D. |
| Practice Address |
45 Pine St 1st Medical Group Langley Afb VA 23665-2025 |
| Mailing Address |
127 Glover Ave Langley Afb VA 23665-1906 |
| Practice Telephone | 7577646969 |
| Practice Fax Number | 7577646843 |
| Mailing Telephone | 7578769190 |
| Mailing Fax Number | 7577646843 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 14036 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
45 PINE ST 1ST MEDICAL GROUP |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033352117 | Victor De Leon | Military Health Care Provider | 45 Pine St, Langley Afb, VA 23665-2025 | 2009-04-20 |
| 1619181062 | Loren M Jones | Otolaryngology | 45 Pine St, Langley Afb, VA 23665-2025 | 2007-05-09 |
| 1144368069 | Claudia Lynn Sands | Podiatrist | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2007-02-02 |
| 1487790002 | Jo Anne Merrell | Social Worker | 45 Pine St, Langley Afb, VA 23665-2025 | 2007-01-30 |
| 1730234212 | Brian Logue | Pharmacist | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2007-01-24 |
| 1548324619 | Pamela Mary Loveland | Emergency Medicine | 45 Pine St, 1 Medops Sq, Langley Afb, VA 23665-2025 | 2006-12-21 |
| 1164488599 | David Duane Smith | Neuromusculoskeletal Medicine, Sports Medicine | 45 Pine St, Langley Afb, VA 23665-2025 | 2006-04-25 |
| 1043284300 | Blaine A Tuft | Pediatrics | 45 Pine St, 1st Med Group/sghc, Langley Afb, VA 23665-2025 | 2006-02-14 |
| 1760452155 | Gary Leigh Cohen | Pathology | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2006-01-26 |
| 1114904539 | Matthew Gregory Niemi | Radiology | 45 Pine St, Langley Afb, VA 23665-2025 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649308909 | Joseph J Legan | Orthopaedic Surgery | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695059 | Central Virginia Orthopaedics & Sports Medicine | Orthopaedic Surgery | 450 Garrisonville Rd Ste 101, Stafford, VA 22554-1615 | 2020-09-30 |
| 1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
| 1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
| 1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
| 1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
| 1154946093 | Orthovirgina, Inc. | Orthopaedic Surgery | 1760 Old Meadow Rd Ste 500, Mc Lean, VA 22102-4306 | 2020-06-16 |
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1134748221 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 11230 Waples Mill Rd Ste 114c, Fairfax, VA 22030-5026 | 2020-04-09 |
| 1649810805 | Anderson Clinic Inc | Orthopaedic Surgery | 3299 Woodburn Rd Ste 480, Annandale, VA 22003-7333 | 2020-01-15 |
| 1871136622 | Orthovirginia Inc. | Orthopaedic Surgery | 24600 Millstream Dr Ste 380, Aldie, VA 20105-5686 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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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.