Corey Lee McCloud

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Navy Health Clinic Hawaii
Makalapa Family Pratice Clinic
Pearl Harbor, HI 96706

Phone

(760) 500-4000

NPI assigned

Jun 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1437356912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2055 KAIOLI ST APT 3902",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066151",
            "telephone_number": "760-500-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVY HEALTH CLINIC HAWAII",
            "address_2": "MAKALAPA FAMILY PRATICE CLINIC",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "96706",
            "telephone_number": "760-500-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "COREY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Mattas
• Karlwin J Matthews, M.D.
• Heather Nycole Matz, RN
• Carlton Jacob Maughan
• Agnes Galicia Mayfield, R.N.
• Leona Leinani McClure, LPN
• Wendy Mutchler McCraw, RN
• Denise Christine McGee, LPN
• Tonia McGhee, RN
• Austin McIntyre, D.D.S

• Independent Duty Corpsman in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Independent Duty Corpsman in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.