MIKE CORCORAN (NPI# 1093892416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093892416 |
| Entity Type | Individual |
| Full Name | MIKE CORCORAN |
| Credential | CPO |
| Practice Address |
2421 Linden Ln Silver Spring MD 20910-1230 |
| Practice Telephone | 3015855347 |
| Mailing Telephone | 3015855347 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CPO 1928 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346210853 | Mike Corcoran | Nurse Practitioner | 6179 S Balsam Way, 110, Littleton, CO 80123-3091 | 2006-01-25 |
| Street Address |
2421 LINDEN LN |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528148533 | Mark Mcvicker | Prosthetist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2006-10-16 |
| 1164963880 | Justin Michael Boehm | Orthotist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2017-03-14 |
| 1003271537 | Adventist Rehabilitation Hospital of Maryland, Inc. | Clinic/Center | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2015-12-29 |
| 1841622396 | Adventist Rehabilitation, Inc. | Clinic/Center | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2013-08-07 |
| 1922442664 | Jocelyn Wong | Specialist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2013-04-24 |
| 1386915809 | Willis Bickley | Prosthetist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2012-01-13 |
| 1679771851 | Art Molnar | Orthotist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2007-07-10 |
| 1184822363 | Daniel Carroll | Orthotist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2007-07-10 |
| 1043418643 | Thomas O'doherty | Prosthetist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548701402 | Todd John Sleeman | Prosthetist | 10515 Calumet Dr, Silver Spring, MD 20901-4607 | 2017-03-13 |
| 1528148533 | Mark Mcvicker | Prosthetist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2006-10-16 |
| 1386915809 | Willis Bickley | Prosthetist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2012-01-13 |
| 1043418643 | Thomas O'doherty | Prosthetist | 2421 Linden Ln, Silver Spring, MD 20910-1230 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866074 | Rosetta Randolph | Prosthetist | 15 Wytchwood Ct Apt T1, Baltimore, MD 21209-4832 | 2020-09-18 |
| 1619597408 | Tationia Bowen | Prosthetist | 3016 Westfield Ave, Baltimore, MD 21214-1433 | 2020-04-21 |
| 1437783214 | Salena Rosa | Prosthetist | 4526 Beech Rd, Temple Hills, MD 20748-6704 | 2020-03-02 |
| 1619517851 | Kierra Royster | Prosthetist | 6957 Aquamarine Ct, Capitol Heights, MD 20743-1879 | 2020-01-15 |
| 1548823222 | Roger Hamilton | Prosthetist | 10903 Indian Head Hwy Ste 312, Fort Washington, MD 20744-4005 | 2019-04-17 |
| 1154898732 | Niokie Laws | Prosthetist | 216 Crain Hwy N Ste 202a, Glen Burnie, MD 21061-3085 | 2018-11-01 |
| 1942791421 | Uniquely Urs Hair Restoration Center | Prosthetist | 1144 Smallwood Dr W # E1, Waldorf, MD 20603-4759 | 2018-05-21 |
| 1528569241 | Delphine Gathoni Njuguna | Prosthetist | 4509 Blackbirds Folly Ln, Bowie, MD 20720-5803 | 2018-02-27 |
| 1841706173 | Afa Orthotics and Prosthetics LLC | Prosthetist | 2086 Generals Hwy Ste 305, Annapolis, MD 21401-6759 | 2017-12-22 |
| 1427406347 | Gloria Bailey | Prosthetist | 5612 Landover Rd, Hyattsville, MD 20784-1229 | 2016-06-01 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
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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.