MR. JOSHUA DERRELL CORLEY (NPI# 1336194208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336194208 |
| Entity Type | Individual |
| Full Name | MR. JOSHUA DERRELL CORLEY |
| Credential | P.A. |
| Practice Address |
721 Better Now Plz Ada OK 74820-2279 |
| Mailing Address |
902 Arlington Ctr Ada OK 74820-2883 |
| Practice Telephone | 5802720025 |
| Practice Fax Number | 5802726659 |
| Mailing Telephone | 5802720025 |
| Mailing Fax Number | 5802726659 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1538 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | PA MEDICAL LICENSE | PA1538 | 01 |
| OK | DEA | MC1458151 | 01 |
| OK | MEDICARE | 245617201 | 01 |
| OK | 20083400A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2002 12th Ave Nw, Ardmore, OK 734011206 | 5802268646 | 5802268641 |
| Street Address |
721 BETTER NOW PLZ |
| City | ADA |
| State | OK |
| Zip Code | 74820-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760450555 | Bruce W Dennis | Internal Medicine | 721 Better Now Plz, Ada, OK 74820-2279 | 2006-03-09 |
| 1780209254 | Holly Katharyn Farrar | Nurse Practitioner | 721 Better Now Plz, Ada, OK 74820-2279 | 2020-06-10 |
| 1033760970 | Haley Brooke Mitchell | Registered Nurse | 721 Better Now Plz, Ada, OK 74820-2279 | 2019-09-23 |
| 1609313824 | Anna Brooke Vass | Physician Assistant | 721 Better Now Plz, Ada, OK 74820 | 2017-01-25 |
| 1578010716 | Brandi Gynn Harden | Registered Nurse | 721 Better Now Plz, Ada, OK 74820-2279 | 2016-09-06 |
| 1619327970 | Mandy Lynne Waters | Nurse Practitioner | 721 Better Now Plz, Ada, OK 74820-2279 | 2016-06-17 |
| 1154734994 | Mona Jean Nickerson | Nurse Practitioner | 721 Better Now Plz, Ada, OK 74820-2279 | 2014-06-10 |
| 1689723959 | Bruce W Dennis Md Pllc | Internal Medicine | 721 Better Now Plz, Ada, OK 74820-2279 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477964799 | Julie Vander-starre | Physician Assistant | 6609 Rix St Se, Ada, MI 49301-9018 | 2014-05-09 |
| 1023587649 | Lauren Little Axe | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2018-11-14 |
| 1609313824 | Anna Brooke Vass | Physician Assistant | 721 Better Now Plz, Ada, OK 74820 | 2017-01-25 |
| 1023356342 | Ada Health First Inc | Physician Assistant | 1201 Arlington St, Suite F, Ada, OK 74820-4072 | 2013-01-21 |
| 1659618197 | Jon W Haney | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2013-01-03 |
| 1922303759 | Sarah Wischmeyer Niese | Physician Assistant | 520 W Lincoln Ave, Suite A, Ada, OH 45810-9466 | 2011-01-26 |
| 1730416025 | Megan M Shellenberger | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820 | 2009-11-08 |
| 1922243567 | Desiree Hauenstein | Physician Assistant | 520 W Lincoln Ave, Suite A, Ada, OH 45810-9466 | 2008-12-11 |
| 1669676961 | Kasey Lee Brundidge | Physician Assistant | 1201 Arlington St, Ste F, Ada, OK 74820-4072 | 2007-06-12 |
| 1669523718 | Renae L Miller | Physician Assistant | Bridges Medical Center, 201 9th Street W., Ada, MN 56510 | 2007-01-16 |
| Find all providers in ADA | ||||
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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.