Kory Marsland Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

KORY MARSLAND CORPORATION

Doing business as

Leading Edge Clinic

Practice address

213 Tioga St Unit 6834
Ithaca, NY 14851-8068

Phone

(608) 400-0141

Fax

(608) 561-8745

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tisha Palmer, RN

Title

Practice Manager

Phone

(608) 400-0141

Specialties & licenses 3

Addresses

Other names 1

• Leading Edge Clinic Doing business as

Tax ID family

Kory Marsland Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kory Marsland Corporation

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1154217644
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura C Bevis, ARNP

  • Family Nurse Practitioner
  • Kingman, KS
  • NPI 1811009343
  NPD (past)
• Pierre D Kory, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Milwaukee, WI
  • NPI 1073709796

  Pulmonary Disease

  NPD (past)
• Scott Douglas Marsland, FNP-C

  • Family Nurse Practitioner
  • Madison, WI
  • NPI 1043627052
  NPD (past)

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1114766805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 1ST ST N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550824037",
            "telephone_number": "608-400-0141",
            "fax_number": "608-561-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 TIOGA ST UNIT 6834",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148518068",
            "telephone_number": "608-400-0141",
            "fax_number": "608-561-8745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6006 N Highlands Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537051103",
            "country_code": "US",
            "telephone_number": "608-400-0141 x410",
            "fax_number": "608-561-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KORY MARSLAND CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "TISHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "608-400-0141",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leading Edge Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Koppel, N.P.
• Edward Koppel, M.D.
• Benjamin J Kornblum
• Daniel M Kornblum, RN
• Molly M Kornblum
• Kory Marsland Corporation
• Catherine Irene Kovacik, PHARM. D.
• Lindsay N Citro Kozinsky, MS, CCC-SLP
• Sharon S. Kozlowski, CFNP
• KPH Healthcare Services, Inc. (Kinney Drugs #100)

• Pulmonary Disease Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.