Organization
DOUGLAS C. MCCORKLE M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS CARLTON MCCORKLE M.D. (PRESIDENT)
(410) 363-7172
Entity
Organization
Contact information
Practice address
10 CROSSROADS DR, SUITE 100, OWINGS MILLS, MD 21117-5458
(410) 363-7172
(410) 363-7188
Mailing address
10 CROSSROADS DR, SUITE 100, OWINGS MILLS, MD 21117-5458
(410) 363-7172
(410) 363-7188
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0033742
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000254
UHC MEDICAID
MD
01
—
1001599
UHC MEDICAID
MD
01
—
3383624
US HEALTHCARE
MD
01
—
4137034
AETNA
MD
01
—
42461004
BCBS OF MD
MD
01
—
44425
IWIF
MD
01
—
51779
OPTIMUM CHOICE
MD
01
—
J1140001
BLUECHOICE
MD
01
—
KFN6DO
BCBS OF MD
MD
01
—
P00093728
RAILROAD MEDICARE
MD
Enumeration date
12/28/2007
Last updated
12/28/2007
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