William Thomas Corder (NPI# 1154306850, PAC ID# 3870536410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1154306850 |
| PAC ID by PECOS | 3870536410 |
| Professional Enrollment ID | I20070424000012 |
| Full Name | William Thomas Corder |
| Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Address |
120 Medical Park Dr Bridgeport WV 26330-9012 |
| Phone Number | 3046247200 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 9335046754 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510024 | MONONGALIA COUNTY GENERAL HOSPITAL |
| 510006 | UNITED HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 120 Medical Park Dr, Bridgeport, WV 26330-9012 | 3046247200 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| 165 Scott Ave, Morgantown, WV 26508-8839 | 3045540400 | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Organization Legal Name | MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Lynn Booth | Physician Assistant | Mountain State Medical Specialties, Pllc | 802 Wayne St, Suite 100, Marietta, OH 45750-3373 |
| Alisha L Varner | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
| Isha Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 76 16th St, Suite 100a, Wheeling, WV 26003-3660 |
| Jeffrey B Jackson | Dermatology | Mountain State Medical Specialties, Pllc | 100 Seneca Rd, Elkins, WV 26241-9709 |
| Dominick Ryan Woofter | Family Medicine | Mountain State Medical Specialties, Pllc | 1664 E Pike St, Clarksburg, WV 26301-6011 |
| Kristin B Smucker | Physician Assistant | Mountain State Medical Specialties, Pllc | 165 Scott Ave, Morgantown, WV 26508-8839 |
| Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Nicole A Koci | Physician Assistant | Mountain State Medical Specialties, Pllc | 204 Mary Higginson Ln, Uniontown, PA 15401-2657 |
| Street Address |
120 MEDICAL PARK DR |
| City | BRIDGEPORT |
| State | WV |
| Zip | 26330-9012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances Murray | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Sharifeh Farasat | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| John G Hancox | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| James Malone | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Charles Bradley Franz | Dermatology | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Robbie H Taha | Internal Medicine | Coastal Carolina Multispecialty Associates LLC | 120 Medical Park Dr, Walterboro, SC 29488-5719 |
| Aaradhana Kaul | Rheumatology | United Hospital Center Inc | 120 Medical Park Dr, Suite 100, Bridgeport, WV 26330-9013 |
| Meranda Danielle Chipps | Nurse Practitioner | United Hospital Center Inc | 120 Medical Park Dr, Suite 100, Bridgeport, WV 26330-9013 |
| Stephen F Fryer Ii | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Anthony Catania | Podiatry | Mountain State Medical Specialties, Pllc | 120 Medical Park Dr, Bridgeport, WV 26330-9012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vigneshwaran Ramanathan | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Sean T. Keesee | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Adam Michael Penfold | Physician Assistant | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Erin Colleen Hawkins | Nurse Practitioner | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Keith Iverson Harrop Ii | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Josalyn M Mann | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Marcus A Peters | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Alexandria D Johnson | Nurse Practitioner | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Ruthanne Marie Watkins | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Haeley E Harman | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Find all physicians in zip 26330 | |||
| City | BRIDGEPORT |
| Zip Code | 26330 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | BRIDGEPORT + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on William Thomas Corder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.