Corie Detwiler, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

APA2180 Issued in OK

Practice address

9716 Riverside Pkwy
Tulsa, OK 74137-7447

Phone

(918) 528-4897

NPI assigned

Jan 8, 2013

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: corie.detwilerpac.p10@direct.nextcare.nextgenshare.com

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.

• Colorado Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Aurora, CO
  • NPI 1255949681
  NPD
• Colorado Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Greeley, CO
  • NPI 1447868880
  NPD

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1891032017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9716 RIVERSIDE PKWY",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377447",
            "telephone_number": "918-299-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9716 RIVERSIDE PKWY",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377447",
            "telephone_number": "918-528-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "CORIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "APA2180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Despain, R.N.
• Roger D Desprez, M.D.
• Kassidy Desroche
• Destined for Greatness Counseling Services, LLC
• Michael Detter, DPT
• Jordan Leigh Berry Detwiler, CCC-SLP
• Natalie K Deuschle
• Damaris Deutsch, ARNP
• Janey Deutsch
• Robert Devadhas, CRNA

• Medical Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.