Cork Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

331488 Issued in KY

Legal business name

CORK MEDICAL LLC

Practice address

2527 Data Dr
Louisville, KY 40299-2517

Phone

(866) 551-2580

NPI assigned

Aug 25, 2015

Organization subpart

No

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

Authorized official

Name

Sean McGinley

Title

Director of Operations

Phone

(317) 361-4554

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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
  • Lenexa, KS
  • NPI 1669848958

  7416153176

  Same PAC ID
• Cork Medical LLC

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

  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
  • Lenexa, KS
  • NPI 1669848958
  NPD tax ID
• 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

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": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1962879965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501943",
            "telephone_number": "317-361-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 DATA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992517",
            "telephone_number": "866-551-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11505 Commonwealth Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402992396",
            "country_code": "US",
            "telephone_number": "317-361-4563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "MCGINLEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "317-361-4554"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "331488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Corfman, APRN
• Elizabeth Coriano
• Deborah J Coriell, LCSW
• Megan Buttleman Coriell, MD
• Michael Allen Coriell, LCSW
• Jennifer Cormney, LMT
• Jessica Cormney
• Jennifer Corneil, COTA/L
• Amie J. Cornell, CRNA
• Christopher Blair Cornell, MD

• Durable Medical Equipment & Medical Supplies in Louisville, KY
• Providers in Louisville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.