Active NPI
Douglas C. McCorkle M.D., P.a.
- Otolaryngology Physician
- Owings Mills, MD
National Provider Identifier
1013192848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0033742
- Legal business name
- DOUGLAS C. MCCORKLE M.D., P.A.
- Practice address
- 10 Crossroads Dr
Suite 100
Owings Mills, MD 21117-5458 - Phone
- (410) 363-7172
- Fax
- (410) 363-7188
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Carlton McCorkle, M.D.
- Title
- President
- Phone
- (410) 363-7172
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0033742 | MD | Primary |
Addresses
Primary practice location
10 Crossroads Dr
Suite 100
Owings Mills, MD 21117-5458
Mailing address
10 Crossroads Dr
Suite 100
Owings Mills, MD 21117-5458
Phone (410) 363-7172
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51779 | Other | MD | OPTIMUM CHOICE |
| 3383624 | Other | MD | US HEALTHCARE |
| 44425 | Other | MD | IWIF |
| 51779 | Other | MD | MDIPA |
| 1001599 | Other | MD | UHC MEDICAID |
| KFN6DO | Other | MD | BCBS OF MD |
| P00093728 | Other | MD | RAILROAD MEDICARE |
| 4137034 | Other | MD | AETNA |
| 51779 | Other | MD | MAMSI |
| J1140001 | Other | MD | BLUECHOICE |
| J1140001 | Other | MD | BCBS FEDERAL |
| 1000254 | Other | MD | UHC MEDICAID |
| 42461004 | Other | MD | BCBS OF MD |
| 51779 | Other | MD | ONENET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Owings Mills, MD
- NPI 1124111844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198800000000",
"number": "1013192848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CROSSROADS DR",
"address_2": "SUITE 100",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175458",
"telephone_number": "410-363-7172",
"fax_number": "410-363-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CROSSROADS DR",
"address_2": "SUITE 100",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211175458",
"telephone_number": "410-363-7172",
"fax_number": "410-363-7188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS C. MCCORKLE M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A",
"authorized_official_last_name": "MCCORKLE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "CARLTON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-363-7172",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0033742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "51779",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "3383624",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IWIF",
"identifier": "44425",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "51779",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MEDICAID",
"identifier": "1001599",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD",
"identifier": "KFN6DO",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00093728",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4137034",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "51779",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "J1140001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL",
"identifier": "J1140001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MEDICAID",
"identifier": "1000254",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD",
"identifier": "42461004",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONENET",
"identifier": "51779",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.