Cork Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CORK MEDICAL LLC

Practice address

9804 Pflumm Rd
Lenexa, KS 66215-1208

Phone

(913) 495-9702

NPI assigned

Aug 20, 2015

Organization subpart

No

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

Authorized official

Name

Desmond South

Title

Human Resource / Compliance Dir.

Phone

(317) 361-4563

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cork Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Noblesville, IN
  • NPI 1760686117

  7416153176

  Same PAC ID
• Cork Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1962879965

  7416153176

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Cork Medical LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Cork Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Noblesville, IN
  • NPI 1760686117
  NPD tax ID
• Cork Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Farmington Hills, MI
  • NPI 1912563677
  NPD tax ID
• Cork Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1962879965
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rehab Medical LLC

  • Customized Equipment (DME)
  • Pensacola, FL
  • NPI 1497166920

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1669848958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6406 CASTLEWAY CT STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501949",
            "telephone_number": "317-361-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 PFLUMM RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151208",
            "telephone_number": "913-495-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "SOUTH",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "HUMAN RESOURCE / COMPLIANCE DIR.",
        "authorized_official_telephone_number": "317-361-4563"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coram Alternate Site Services, Inc.
• Emily Cordray
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• Core Nemt
• Kelsey Corken, LPC
• Julio Coronado
• Alexis Corsello
• Emily Cortes, DDS
• Christopher Cossette, O.D.

• Durable Medical Equipment & Medical Supplies in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Durable Medical Equipment & Medical Supplies in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.