Individual provider Active NPI

Elizabeth J McCorkle, MD

  • Gynecology Physician
  • Eugene, OR
National Provider Identifier
1568440196
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD22056 Issued in OR
Practice address
1030 Willagillespie Rd
Willow Medical Spa for Women
Eugene, OR 97401-2123
Phone
(541) 653-9178
NPI assigned
Jan 4, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD22056 OR
Gynecology Physician 207VG0400X MD22056 OR Primary

Addresses

Primary practice location

1030 Willagillespie Rd
Willow Medical Spa for Women
Eugene, OR 97401-2123

Mailing address

1030 Willagillespie Rd
Willow Medical Spa for Women
Eugene, OR 97401-2123
Phone (541) 653-9158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08978ORMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1568440196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 WILLAGILLESPIE RD",
            "address_2": "WILLOW MEDICAL SPA FOR WOMEN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012123",
            "telephone_number": "541-653-9158",
            "fax_number": "541-653-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WILLAGILLESPIE RD",
            "address_2": "WILLOW MEDICAL SPA FOR WOMEN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012123",
            "telephone_number": "541-653-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD22056",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD22056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.