Corry Medical Services, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CORRY MEDICAL SERVICES, INC.

Practice address

612 W Smith St
Corry, PA 16407-1152

Phone

(814) 664-4641

Fax

(814) 663-9900

NPI assigned

Oct 26, 2006

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

CORRY MEDICAL SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Michael Heller

Title

Cfo

Phone

(814) 664-4641

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Susan M Kaufman D O

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Corry Medical Services, Inc.

  • Family Medicine Physician
  • Corry, PA
  • NPI 1023034550
  NPPES parent name

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1275618647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76642",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441016500",
            "telephone_number": "814-664-4641",
            "fax_number": "814-663-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W SMITH ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071152",
            "telephone_number": "814-664-4641",
            "fax_number": "814-663-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRY MEDICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRY MEDICAL SERVICES, INC.",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-664-4641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007733850004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG9021",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne L Cornell, M.D.
• Corry Ambulance Service Inc.
• Corry Area School District
• Corry Medical Services, Inc.
• Corry Medical Services, Inc.
• Corry Medical Services, Inc.
• Corry Medical Services, Inc.
• Corry Medical Services, Inc.
• Corry Memorial Hosital (Corry Memorial Hospital)
• Corry Memorial Hospital Association (Corry Memorial Hospital Rural Health Clinic)

• Emergency Medicine Physician in Corry, PA
• Providers in Corry, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.