MR. MALCOLM O CORLEY (NPI# 1073673562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073673562 |
| Entity Type | Individual |
| Full Name | MR. MALCOLM O CORLEY |
| Credential | MD |
| Practice Address |
125 Wamsutta Mill Road Suite D Morganton NC 28655-5522 |
| Mailing Address |
125 Wamsutta Mill Road Suite B Morganton NC 28655-5522 |
| Practice Telephone | 8284303511 |
| Practice Fax Number | 3364642907 |
| Mailing Telephone | 8284303511 |
| Mailing Fax Number | 3364642907 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 174400000X | Specialist | 5520 | SC | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
19591 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 400685 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2962 Sweetleaf Ln, Johns Island, SC 294556710 | 8284303511 |
| Street Address |
125 WAMSUTTA MILL ROAD SUITE D |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-5522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639244478 | Blue Ridge Healthcare Medical Group, Inc. | Radiology | 2201 S. Sterling Street, Morganton, NC 28655 | 2006-11-21 |
| 1982714002 | Blue Ridge Healthcare Medical Group, Inc. | Radiology | 113-a Foothills Drive, Morganton, NC 28655 | 2006-08-30 |
| 1053359364 | John Anthony Tata | Radiology | 125 Wamsutta Mill Rd Ste B, Morganton, NC 28655-5522 | 2006-06-02 |
| 1144213661 | Kevin J Leonard | Radiology | 201 E Parker Rd, Morganton, NC 28655-5107 | 2005-08-30 |
| 1184020547 | Imaging Partners Pllc | Radiology | 127 Wamsutta Mill Rd Ste D, Morganton, NC 28655-5523 | 2014-11-13 |
| 1669891396 | Mission Imaging Services, LLC | Radiology | 149 W Parker Rd, Suite B, Morganton, NC 28655-4673 | 2014-04-09 |
| 1336314962 | Robert H Newman | Radiology | 201 E Parker Rd, Morganton, NC 28655-5107 | 2008-04-24 |
| 1982823902 | Andrew Thomas Shannon | Radiology | 2201 S Sterling St, Morganton, NC 28655-4044 | 2007-04-25 |
| 1083740435 | Blue Ridge Healthcare Medical Group, Inc. | Radiology | 2201 S. Sterling St., Morganton, NC 28655 | 2007-02-27 |
| 1053496307 | David M. Glowacki | Radiology | 201 E Parker Rd, Morganton, NC 28655-5107 | 2006-10-26 |
| Find all providers in MORGANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.