MS. CORIE DETWILER PA
NPI 1891032017
Physician Assistant - Medical in Tulsa, OK
About Ms. Corie Detwiler Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CORIE DETWILER PA (NPI 1891032017) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (APA2180) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Corie Detwiler Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TULSA, OK 74137
TULSA, OK 74137
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Corie Detwiler's NPI number?
The NPI number for Corie Detwiler is 1891032017. It was assigned to this individual provider in the NPPES registry on January 8, 2013.
Where is Corie Detwiler located?
Corie Detwiler practices at 9716 Riverside Pkwy, Tulsa, OK 74137. The listed phone number is (918) 528-4897.
What is Corie Detwiler's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Corie Detwiler enrolled in Medicare?
Yes. Corie Detwiler is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Corie Detwiler was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Corie Detwiler, PA · NPI 1891032017
Medical physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since January 8, 2013.
## Identity
- **NPI:** 1891032017 (Entity type: Individual)
- **Enumerated:** January 8, 2013
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** APA2180 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 9716 RIVERSIDE PKWY, Tulsa, OK 74137-7447
- **Phone:** (918) 528-4897
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** December 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1891032017) · Data from the CMS NPPES public registry.