Corley Mark Palmer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13000 Issued in OK

Practice address

900 17TH St.
Woodward Regional Hospital
Woodward, OK 73801

Phone

(580) 763-2071

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

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.

• Kay County Clinic Company LLC

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1225072796
  NPD (past)
• North Central Palliative Care, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Ponca City, OK
  • NPI 1821505900
  NPD (past)
• Apogee Medical Group Oklahoma Inc

  • Hospitalist Physician
  • Scottsdale, AZ
  • NPI 1215192307
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1477578862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N 5TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746013353",
            "telephone_number": "580-763-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 17TH ST.",
            "address_2": "WOODWARD REGIONAL HOSPITAL",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "73801",
            "telephone_number": "580-763-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CORLEY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "13000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Don Olive, D.D.S.
• Christyn Owen
• Alyssa Beth Owens, BSW
• Ashley Owens, LPC
• Sandra Janel Padilla, RN
• Alexandra Paprocki, M.D.
• Jerri Ann Parsons, L.P.C., L.B.P.
• Jennifer Patrick, R.N.
• Samantha Patten, CSFA
• David Paul Peck, O.D.

• Internal Medicine Physician in Woodward, OK
• Providers in Woodward, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.