Organization Active NPI

Steven D Cork D.O. PL

  • Internal Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1982709614
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7311 Issued in FL
Legal business name
STEVEN D CORK D.O. PL
Practice address
724 S Beach St Ste 2
Daytona Beach, FL 32114-5412
Phone
(386) 253-4546
Fax
(386) 253-2116
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Steven D Cork, D.O.
Title
Owner
Phone
(386) 253-4546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS7311 FL Primary

Addresses

Primary practice location

724 S Beach St Ste 2
Daytona Beach, FL 32114-5412

Mailing address

724 S Beach St Ste 2
Daytona Beach, FL 32114-5412
Phone (386) 253-4546

National Provider Directory

National Provider Directory

Locations

724 S Beach St
Ste 2
Daytona Beach, FL 32114
Phone (386) 253-4546

1400 Hand Ave
Ste K
Ormond Beach, FL 32174
Phone (386) 671-2771

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1982709614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S BEACH ST STE 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145412",
            "telephone_number": "386-253-4546",
            "fax_number": "386-253-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S BEACH ST STE 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145412",
            "telephone_number": "386-253-4546",
            "fax_number": "386-253-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN D CORK D.O. PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CORK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-253-4546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.