MARK O. MCCORKINDALE


Address: 615 E 14th St, Wayne, NE 68787-1152
Phone: 4023752500

MARK O. MCCORKINDALE (NPI# 1679528616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679528616
Entity Type Individual
Full Name MARK O. MCCORKINDALE
Credential MD
Practice Address 615 E 14th St
Wayne
NE 68787-1152
Mailing Address Po Box 328
Sioux City
IA 51102-0328
Practice Telephone 4023752500
Practice Fax Number 4023752463
Mailing Telephone 7122795830
Mailing Fax Number 7122795883
Enumeration Date 2006-05-24
Last Update Date 2007-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 29362 IA Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 19231 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE 7085498 05
IA WELLMARK BCBS - MAPLE VAL 17827 01
IA 8085498 05

Office Location

Street Address 615 E 14TH ST
City WAYNE
State NE
Zip Code 68787-1152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619920105 Alfred David Felber Family Medicine 615 E 14th St, Wayne, NE 68787-1152 2006-05-18
1730599762 Angela Mclaughlin Family Medicine 615 E 14th St, Wayne, NE 68787 2014-04-29
1720026461 Mercy Medical Services Family Medicine 615 E 14th St, Wayne, NE 68787-1152 2006-06-03
1023063146 Anne M. Liska Physician Assistant 615 E 14th St, Wayne, NE 68787-1152 2006-05-24
1669427613 Benjamin J Martin Family Medicine 615 E 14th St, Wayne, NE 68787-1152 2006-05-24
1407801459 James A. Lindau Family Medicine 615 E 14th St, Wayne, NE 68787-1152 2006-05-24
1417902545 Gary West Physician Assistant 615 E 14th St, Wayne, NE 68787-1152 2006-05-24
1215982483 Willis L Wiseman Family Medicine 615 E 14th St, Wayne, NE 68787-1152 2006-05-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396209623 Pearl Street Counseling, LLC Counselor 421 N Pearl Street, Wayne, NE 68787 2019-01-31
1760883367 Northeast Nebraska Public Health Department Public Health or Welfare 215 Pearl Street, Wayne, NE 68787 2014-09-15
1942419353 Muffin Elaine Morris Specialist/Technologist 11 11 Main Street, Wayne State College, Wayne, NE 68787 2007-05-22
1801952601 Craig W Braun Dentist 206 E 7th St, Wayne, NE 68787 2006-12-28
1124120464 Robert Kevin Krugman Chiropractor 214 Pearl Street, Wayne, NE 68787 2006-09-05
1659722908 Michele Albers Physical Therapist 1200 Providence Road, Wayne, NE 68787 2016-06-28
1083977474 Amy Joan Bowers Physical Therapist 1200 Providence Rd, Wayne, NE 68787 2012-06-20
1205195831 Michelle Theis Occupational Therapist 1200 Providence Rd, Wayne, NE 68787 2012-05-16
1649568775 Grace Counseling Services Community/Behavioral Health 111 Main Street, Wayne, NE 68787 2011-07-11
1780975144 Magnuson Hopkins Eyecare PC Optometrist 1112 W 7th St, Wayne, NE 68787 2011-04-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639619125 William Paterson University of New Jersey (wpunj) Family Medicine 358 Hamburg Tpke, Wayne, NJ 07470-2150 2017-03-02
1881019594 Matthew Evan Bassan Family Medicine 330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704 2014-03-04
1174816227 Renaissance Medical Management Company Family Medicine 489 Devon Park Dr, Suite 306, Wayne, PA 19087-1809 2011-05-24
1609166461 Steven M Nguyen Family Medicine 510 Hamburg Tpke Ste 101, Wayne, NJ 07470-2033 2011-04-13
1467607978 Omar Hisham Nabulsi Family Medicine 516 Hamburg Tpke Ste 5, Wayne, NJ 07470-2063 2008-11-25
1235393513 Robert German Paris Family Medicine 35540 W Michigan Ave, Ste #300, Wayne, MI 48184-1626 2008-07-15
1124169966 Seth Jeremy Koss Family Medicine 950 W Valley Rd Ste 2301, Wayne, PA 19087-1846 2007-02-12
1922192517 Antoinette Deingeniis Family Medicine 468 Parish Drive, Suite 6, Wayne, NJ 07470 2006-10-03
1689609042 Peter E Rubin, Md PC Family Medicine 700 Knox Rd, Wayne, PA 19087-2044 2006-07-12
1043247786 Seymour Schlossberg Family Medicine 2 Mayfair Dr, Wayne, NJ 07470-3703 2006-06-27
Find all providers in WAYNE

Competitor

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City WAYNE
Zip Code 68787

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Dataset Information

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.

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