Organization Active NPI

Cor Medical LLC

  • Internal Medicine Physician
  • Monroe, LA
National Provider Identifier
1265804181
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 15498R Issued in LA
Legal business name
COR MEDICAL LLC
Practice address
100 Centurylink Dr
Mailstop La00010100-153
Monroe, LA 71203-2041
Phone
(318) 362-1500
Fax
(318) 361-0482
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Dr. Mark C Napoli, MD
Title
Owner
Phone
(318) 362-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD 15498R LA Primary

Addresses

Primary practice location

100 Centurylink Dr
Mailstop La00010100-153
Monroe, LA 71203-2041

Mailing address

100 Centurylink Dr
Mailstop La00010100-153
Monroe, LA 71203-2041
Phone (318) 362-1500

Other identifiers 1

IdentifierTypeStateIssuer
1464279MedicaidLA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2195707Cor Medical Clinical100 Centurylink Drive, Monroe, LA 71203Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Cor Medical Broomfield3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1265804181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTURYLINK DR",
            "address_2": "MAILSTOP LA00010100-153",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032041",
            "telephone_number": "318-362-1500",
            "fax_number": "318-807-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURYLINK DR",
            "address_2": "MAILSTOP LA00010100-153",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032041",
            "telephone_number": "318-362-1500",
            "fax_number": "318-361-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "NAPOLI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-362-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD 15498R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464279",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.