Corry Medical Services, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CORRY MEDICAL SERVICES, INC.

Practice address

336 York St
Corry, PA 16407-1413

Phone

(814) 664-4641

Fax

(814) 663-0105

NPI assigned

Jan 8, 2007

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

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1497803571",
    "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": "330-759-9119",
            "fax_number": "330-759-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071413",
            "telephone_number": "814-664-4641",
            "fax_number": "814-663-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRY MEDICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRY MEDICAL SERVICES, INC.",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-01-27",
        "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": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 Association
• Corry Memorial Hospital Association

• All providers in Corry, PA
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.