Corey E. Mayo D.O. PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4862 Issued in OK

Legal business name

COREY E. MAYO D.O. PLLC

Practice address

13100 N Western Ave Ste 200
Oklahoma City, OK 73114-1431

Phone

(405) 418-4500

Fax

(405) 418-4501

NPI assigned

Jun 16, 2010

Organization subpart

No

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

Authorized official

Name

Randall Murray, BSBA MS

Title

Administrator

Phone

(405) 418-4505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528389376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141431",
            "telephone_number": "405-418-4500",
            "fax_number": "405-418-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141431",
            "telephone_number": "405-418-4500",
            "fax_number": "405-418-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY E. MAYO D.O. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-418-4505",
        "authorized_official_credential": "BSBA MS"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "4862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200292750A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryl Cordes, MD
• Martha B. Cordova, APRN, NP-C
• Vincel Ray Cordry Jr., DO
• Core Primary Care Partners LLC
• Ashton Corea
• Karen E. Corff, ARNP
• Amber Coriano
• Corlee Foot & Ankle
• N Bryce Andrew Corlee, DPM
• Phillip Wade Corley, DDS

• Orthopaedic Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.