W Theodore Corey, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD013949E Issued in PA

Practice address

1086 Franklin St
Johnstown, PA 15905-4305

Phone

(814) 539-5987

Fax

(814) 535-4176

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cambria Somerset Radiology & Nuclear Medicine Group, Inc.

  • Diagnostic Radiology Physician
  • Johnstown, PA
  • NPI 1730107590
  NPD (past)
• Radiologic Consultants, LTD

  • Diagnostic Radiology Physician
  • Greensburg, PA
  • NPI 1649283219
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1326190935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MAIN ST",
            "address_2": "SUITE 400",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011640",
            "telephone_number": "814-539-5987",
            "fax_number": "814-535-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-539-5987",
            "fax_number": "814-535-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "W",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD013949E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001305920",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerrica L Cooper
• Jesse Cooper
• Sharon F Cooper, LPC
• Heather Corcelle
• Lisa M Cordek, CRNP
• Michelle Lee Corle, CRNP
• Stacey Lynn Cornelius, LPN
• Jon David Cornell
• Corner Drug Store Inc
• David Michael Costlow, PHARMACIST

• Diagnostic Radiology Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.