NPIMap

Individual provider Active NPI

Maurice E. Corman III, M.D.

  • Family Medicine Physician
  • Piedmont, OK
National Provider Identifier
1548202807
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23210 Issued in OK
Practice address
63 Gooder Simpson Blvd
Piedmont, OK 73078-9215
Phone
(405) 373-0380
Fax
(405) 373-0457
NPI assigned
Jun 12, 2006
Last updated
Jun 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23210 OK Primary

Addresses

Primary practice location

63 Gooder Simpson Blvd
Piedmont, OK 73078-9215

Mailing address

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 419-8465

Other identifiers 1

IdentifierTypeStateIssuer
200093380AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000542 OK Practitioner - Family Practice 5092715029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 787-8550

63 Gooder Simpson Blvd
Piedmont, OK 73078-9215
Phone (405) 373-0380

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23210OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Optimal Health Associates LLC Past Accepting new patients

Locations

7530 NW 23rd St
Bethany, OK 73008
Phone (405) 730-6990

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23872/brand/5/csg/61/fhir/r4
  • Direct secure messaging: rcorman161265@direct.integrisok.com

Organizations & group practices 5

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1548202807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341006",
            "telephone_number": "405-419-8465",
            "fax_number": "405-419-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GOODER SIMPSON BLVD",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730789215",
            "telephone_number": "405-373-0380",
            "fax_number": "405-373-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMAN",
        "first_name": "MAURICE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200093380A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, OK

Sources for this page

Verify at the official NPI Registry.