Cork Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CORK MEDICAL LLC

Practice address

1900 Airport Rd Ste B
Waukesha, WI 53188-2478

Phone

(317) 361-4563

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Kevin Gearheart

Title

President

Phone

(317) 813-4210

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rehab Medical LLC

  • Customized Equipment (DME)
  • Pensacola, FL
  • NPI 1497166920

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1124495130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 CASTLEWAY CT STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 AIRPORT RD STE B",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882478",
            "telephone_number": "317-361-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "GEARHEART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-813-4210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Cooper, M.D.
• Karen Copeland, MS
• Coppe Healthcare Solutions
• Greta Cordova, PT, DPT
• Kristi Kay Corey, LPN
• Tracey Cornella-Carlson, MD
• Cornerstone Caregiving East LLC
• Cornerstone Counseling Services
• Jean C Cortez, LPC
• Kristin Allie Costello, LMT

• Durable Medical Equipment & Medical Supplies in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.