Active NPI
Michael McCorkle, D.C.
- Chiropractor
- West Chester, PA
National Provider Identifier
1679061964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011367
- Practice address
- 796 Scattergood LN
West Chester, PA 19380-1644 - Phone
- (610) 496-5200
- NPI assigned
- Apr 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC011367 | PA | Primary |
Addresses
Primary practice location
796 Scattergood LN
West Chester, PA 19380-1644
Mailing address
796 Scattergood LN
West Chester, PA 19380-1644
Phone (610) 496-5200
Other practice location 1
3547 Rhoads Ave
Newtown Square, PA 19073-3624
Phone (610) 356-2341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC011367 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KJ Healthcare Group LLC | Chiropractor | Current | Accepting new patients |
Locations
3547 Rhoads Ave
Newtown Square, PA 19073
Phone (610) 356-2341
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Glen Mills, PA
- NPI 1790816825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1679061964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "796 SCATTERGOOD LN",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193801644",
"telephone_number": "610-496-5200",
"fax_number": "610-431-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "796 SCATTERGOOD LN",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193801644",
"telephone_number": "610-496-5200"
}
],
"practiceLocations": [
{
"address_1": "3547 Rhoads Ave",
"address_purpose": "LOCATION",
"city": "Newtown Square",
"state": "PA",
"postal_code": "190733624",
"country_code": "US",
"telephone_number": "610-356-2341",
"fax_number": "610-356-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORKLE",
"first_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-23",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.