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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 7085498 | 05 | |
| IA | WELLMARK BCBS - MAPLE VAL | 17827 | 01 |
| IA | 8085498 | 05 |
| Street Address |
615 E 14TH ST |
| City | WAYNE |
| State | NE |
| Zip Code | 68787-1152 |
| 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 |
| 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 |
| Find all providers in zip 68787 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| 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 | ||||
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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.