Provider Demographics
NPI:1225149784
Name:CORKEY, WILLIAM BARNETTE (M)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BARNETTE
Last Name:CORKEY
Suffix:
Gender:M
Credentials:M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 SPRING FOREST RD
Mailing Address - Street 2:STE 130
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2880
Mailing Address - Country:US
Mailing Address - Phone:919-350-5645
Mailing Address - Fax:919-882-0706
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:919-350-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200201443207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00159324OtherRAILROAD-MEDICARE
NCD4450OtherMEDCOST
NC802981OtherPARTNERS
NC8913369Medicaid
NC13369OtherBCBS NC
NC6313755OtherCIGNA
NC6313755OtherCIGNA
NCD4450OtherMEDCOST