Matthew Corgill

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

10991 Issued in OK

Practice address

4112 S Peoria Ave
Tulsa, OK 74105-7613

Phone

(918) 743-4491

Fax

(918) 743-5432

NPI assigned

Nov 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1821427428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057613",
            "telephone_number": "918-743-4491",
            "fax_number": "918-743-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057613",
            "telephone_number": "918-743-4491",
            "fax_number": "918-743-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORGILL",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OK",
            "license": "10991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Psychology, LLC
• Julia Core, LP
• Kaitlin Bullock Cores, MD
• Brandi Lynn Corey, L.M., C.P.M., R.P.T.
• Caleb Joseph Corff, DO
• Anita Gail Corley, COTA/L
• Teira Cormier
• April Dawn Cornelison, BSW
• Janetta Cornelison
• David Wesley Cornelius, CRNA

• Pharmacy Technician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pharmacy Technician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.