DR. SARRA ELIZABETH CUSHEN-CORKER (NPI# 1780833228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780833228 |
| Entity Type | Individual |
| Full Name | DR. SARRA ELIZABETH CUSHEN-CORKER |
| Other Name | SARRA ELIZABETH CUSHEN |
| Credential | DDS |
| Practice Address |
300 Twining St Bldg 760 Maxwell Afb AL 36112-6027 |
| Practice Telephone | 3349533368 |
| Mailing Telephone | 3349533368 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
9531 | CO | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
9531 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2133 Pepperrell St, Lackland A F B, TX 782365313 | 2102923838 | |
| 7321 Balmer St Bldg 570, Hill Afb, UT 840565012 | 8017775815 |
| Street Address |
300 TWINING ST BLDG 760 |
| City | MAXWELL AFB |
| State | AL |
| Zip Code | 36112-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690157 | Shari-jean L. V. Hafner | Student in an Organized Health Care Education/Training Program | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-03-26 |
| 1306304589 | Aillen Ford | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-03-07 |
| 1538626254 | Jamie Nicole Wilson | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2019-02-28 |
| 1770066912 | Sabrina Carter | Social Worker | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2018-09-13 |
| 1437636537 | Kristine Gale Sweeney | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2018-07-23 |
| 1295261865 | Jennifer Renee Lewis | Physician Assistant | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2017-05-02 |
| 1811441272 | Shana Dawson | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2016-08-15 |
| 1588012298 | Andrew John Jurovcik | Family Medicine | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2016-06-03 |
| 1578946240 | You Xu | Student in an Organized Health Care Education/Training Program | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2015-06-30 |
| 1114309143 | Lori Dawn Carver | Nurse Practitioner | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986533 | Ramakiran Venkata Chavali | Dentist | 127 Cahaba River Parc, Birmingham, AL 35243-3250 | 2012-01-30 |
| 1417250937 | Precision Dental | Dentist | 4730 Chace Cir, Hoover, AL 35244-3703 | 2010-12-07 |
| 1588822399 | Harold Keith Miller | Dentist | 2200 Valleydale Rd Ste 110, Hoover, AL 35244-2719 | 2008-05-29 |
| 1417088089 | Taylor Lee Crawford II | Dentist | 4216 Aurelia St, Mobile, AL 36609-2875 | 2007-03-08 |
| 1679602189 | Yung-tsung Hsu | Dentist | 1919 7th Ave S Rm 534, Birmingham, AL 35294-0001 | 2007-03-02 |
| 1508901414 | Luis Fernando Cabrera | Dentist | 3265 Cahaba Heights Rd, Birmingham, AL 35243 | 2007-02-20 |
| 1710036553 | Gregory Morando | Dentist | Us Army Dental Clinic Command, Innkeeper St. Building 4405, Fort Rucker, AL 36362 | 2007-01-10 |
| 1114092442 | Perng-ru Liu | Dentist | 2501 Crossgate Pl, Birmingham, AL 35216-3116 | 2006-11-21 |
| 1245303593 | Sandra Jean Oneal | Dentist | 1919 7th Ave South Sdb Box 538, Birmingham, AL 35294-0001 | 2006-11-16 |
| 1700960077 | Jerry W Reasner | Dentist | 924 Montclair Road, Suite 101, Birmingham, AL 35213 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
| City | MAXWELL AFB |
| Zip Code | 36112 |
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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.