Susan M Corkran (NPI# 1639192651, PAC ID# 5890779201) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1639192651 |
| PAC ID by PECOS | 5890779201 |
| Professional Enrollment ID | I20040615000165 |
| Full Name | Susan M Corkran |
| Organization Legal Name | EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. |
| Address |
1500 N 6th St Ponca City OK 74601-2827 |
| Phone Number | 5807627561 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2466449368 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370006 | PONCA CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1500 N 6th St, Ponca City, OK 74601-2827 | 5807627561 | EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. |
| Organization Legal Name | EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Reed Mcglasson | Nurse Practitioner | Edwin Fair Community Mental Health Center, Inc. | 800 E 6th Ave, Suite B, Stillwater, OK 74074-3732 |
| Shannon Summer Bruey | Nurse Practitioner | Edwin Fair Community Mental Health Center, Inc. | 800 E 6th Ave, Suite B, Stillwater, OK 74074-3732 |
| Stephany R Brackett | Clinical Social Worker | Edwin Fair Community Mental Health Center, Inc. | 1500 N 6th St, Ponca City, OK 74601-2827 |
| Street Address |
1500 N 6TH ST |
| City | PONCA CITY |
| State | OK |
| Zip | 74601-2827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephany R Brackett | Clinical Social Worker | Edwin Fair Community Mental Health Center, Inc. | 1500 N 6th St, Ponca City, OK 74601-2827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Blaine Burnett | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Codi N Vilhauer | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Judy Nielsen | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Thomas M Carter | Ophthalmology | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Mark Edward Rigney | Family Medicine | 400 Fairview, Bldg 3 Suite 20, Ponca City, OK 74601-1910 | |
| Phillip J Knight | Family Medicine | 400 Fairview Ave, Suite 15, Ponca City, OK 74601-1910 | |
| Michael S Schiff | Cardiovascular Disease (cardiology) | Integris Cardiovascular Physicians LLC | 400 Fairview Ave, Suite 19, Ponca City, OK 74601-1910 |
| William R Howard | Otolaryngology | 400 Fairview Ave, Suite 16, Ponca City, OK 74601-1910 | |
| Gary A Dorman | Optometry | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Shrikrishna V Vaidya | Neurology | 400 Fairview Ave, Ponca City, OK 74601-1910 | |
| Find all physicians in zip 74601 | |||
| City | PONCA CITY |
| Zip Code | 74601 |
| Specialty | PSYCHIATRY |
| City + Specialty | PONCA CITY + PSYCHIATRY |
Please comment or provide details below to improve the information on Susan M Corkran.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.