CORY ADEN-WANSBURY M.D. – NPI #1033145578
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CORY ADEN-WANSBURY is an AHC clinic located in MEDFORD, OR. NPPES has assigned the NPI number 1033145578 to CORY ADEN-WANSBURY on June 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 18 years ago on Aug 15, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORY ADEN-WANSBURY below.

NPI Profile for
CORY ADEN-WANSBURY

NPI Number
1033145578
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CORY ADEN-WANSBURY
Credentials
M.D.
Primary location
6151 DARK HOLLOW RD
MEDFORD, OR 97501-4866
Phone: (541) 512-8814 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for CORY ADEN-WANSBURY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G227300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
OR MD23944
261QP2400X
- Clinic/Center / Prison Health
OR MD23944
207YX0602X
- Otolaryngology / Otolaryngic Allergy
CA G22730

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.