Individual provider Active NPI

Tina Corkran, M.D.

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1972659084
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L8657 Issued in TX
Practice address
6401 Cypresswood Dr
Suite 180
Spring, TX 77379-8199
Phone
(281) 866-7080
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L8657 TX Primary

Addresses

Primary practice location

6401 Cypresswood Dr
Suite 180
Spring, TX 77379-8199

Mailing address

6401 Cypresswood Dr
Suite 180
Spring, TX 77379-8199
Phone (281) 866-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608001145 TX Practitioner - Family Practice 2567405681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954

Hospital & facility affiliations

  • Phoenix Healthcare Services, Inc Home health agency, Houston, TX, CCN 679498
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L8657TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Feb 1, 2020 Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

6401 Cypresswood Dr
Ste 180
Spring, TX 77379
Phone (281) 866-7080

Interoperability endpoints

  • Direct secure messaging: tina.corkran.1@13711.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1972659084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 CYPRESSWOOD DR",
            "address_2": "SUITE 180",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798199",
            "telephone_number": "281-866-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 CYPRESSWOOD DR",
            "address_2": "SUITE 180",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798199",
            "telephone_number": "281-866-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKRAN",
        "first_name": "TINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.