Individual provider Active NPI

Mark Willis Corry, MD

  • Family Medicine Physician
  • Cedar City, UT
National Provider Identifier
1033347158
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7747183-1205 Issued in UT
Practice address
1303 N Main St.
Suite C
Cedar City, UT 84721
Phone
(435) 868-5500
Fax
(435) 868-5538
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7747183-1205 UT Primary

Addresses

Primary practice location

1303 N Main St.
Suite C
Cedar City, UT 84721

Mailing address

1303 N Main St.
Suite C
Cedar City, UT 84721
Phone (435) 868-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213001199 UT Practitioner - Family Practice 5698962801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1333 N Main St
Cedar City, UT 84721-9314

1380 E Medical Ctr Dr
Suite 1400
St George, UT 84790-2127
Phone (435) 251-2600

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

  • Iron County Home Health Agency Home health agency, Cedar City, UT, CCN 467012
  • Zion'S Way Home Health Home health agency, St. George, UT, CCN 467243
  • Intermountain Health Home Health - St. George Home health agency, St George, UT, CCN 467033
  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Oct 3, 2010 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Oct 3, 2010 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 11, 2018 Accepting new patients
Ihc Health Services Inc Family Medicine Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1333 N Main St
Cedar City, UT 84721
Phone (435) 865-0218

1303 N Main St
Ste C
Cedar City, UT 84721
Phone (435) 868-5500

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1033347158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST.",
            "address_2": "SUITE C",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84721",
            "telephone_number": "435-868-5500",
            "fax_number": "435-868-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST.",
            "address_2": "SUITE C",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84721",
            "telephone_number": "435-868-5500",
            "fax_number": "435-868-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRY",
        "first_name": "MARK",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7747183-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.