Cork Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HMER-23135 Issued in OH

Legal business name

CORK MEDICAL LLC

Practice address

10835 Millington CT
Blue Ash, OH 45242-4019

Phone

(317) 361-4563

NPI assigned

Aug 25, 2015

Last updated

Apr 8, 2016By 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

Desmond South

Title

Human Resource / Compliance Dir.

Phone

(317) 361-4563

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)
  • Elmhurst, IL
  • NPI 1053063214

  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": "1460073600000",
    "number": "1306213301",
    "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",
            "telephone_number": "317-361-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10835 MILLINGTON CT",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424019",
            "telephone_number": "317-361-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "SOUTH",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "HUMAN RESOURCE / COMPLIANCE DIR.",
        "authorized_official_telephone_number": "317-361-4563"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMER-23135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee Conway, PT, DPT
• Erin Cook
• Lynn Ann Coombs, RPH
• Cary Lewis Copeland, D.P.M.
• Gwen Copenhaver
• Cornerstone Medical Services- Midwest, LLC (AeroCare)
• Lauren Cornett
• Candiss Monique Cornwell
• James R Cornwell, M.D.
• Claire Corzine, SW-T

• Durable Medical Equipment & Medical Supplies in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.