Cor Care of Or, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COR CARE OF OR, LLC

Practice address

1867 Williams Hwy Ste 289
Grants Pass, OR 97527-5854

Phone

(615) 386-0064

NPI assigned

Apr 5, 2019

Last updated

Jan 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Hannon

Title

SVP, Marketing and Communications

Phone

(615) 260-4874

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1588126650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052216",
            "telephone_number": "615-386-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 WILLIAMS HWY STE 289",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275854",
            "telephone_number": "615-386-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COR CARE OF OR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SVP, MARKETING AND COMMUNICATIONS",
        "authorized_official_telephone_number": "615-260-4874"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb V Coombs, DMD
• Donna Marie Cooper
• Jenifer Cooper, QMHP
• Kara Cooper
• Jennifer Louise Copeland, M.ED. , QMHP
• Lisa Marie Corallo, MA
• Tina Corbaley
• Alyssa E Cordel, DNP, FNP-C
• Jacquelyn Cordero
• Jesie Cordero

• Cardiovascular Disease Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Cardiovascular Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.