Maurice Ernest Corman M D PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23210 Issued in OK

Legal business name

MAURICE ERNEST CORMAN M D PLLC

Doing business as

Piedmont Family Care

Practice address

63 Gooder Simpson Blvd.
Piedmont, OK 73078

Phone

(405) 373-0380

Fax

(405) 373-0457

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Maurice E. Corman, M.D.

Title

Owner

Phone

(405) 373-0375

Specialties & licenses 1

Addresses

Other names 1

• Piedmont Family Care Doing business as

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194739200000",
    "number": "1144233867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD",
            "address_2": "SUITE #141; ATTN: BECKY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341785",
            "telephone_number": "405-936-5811",
            "fax_number": "405-936-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GOODER SIMPSON BLVD.",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "73078",
            "telephone_number": "405-373-0380",
            "fax_number": "405-373-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE ERNEST CORMAN M D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-11-11",
        "status": "A",
        "authorized_official_last_name": "CORMAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-373-0375",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenda Lewis
• Gina Lindo
• Renee Madore, RDN, LD
• Whitney Martin
• Victoria Mankuburigi Mate-Kole, NURSE PRACTITIONER
• Alex Maxwell, DPT
• Jessa McDonald
• Christa Dione McKnight
• Amber Marie Meiwes, PA-C
• Dawn Rachae Millard, BA, BHRS

• Family Medicine Physician in Piedmont, OK
• Providers in Piedmont, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2007; 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.