Provider Demographics
NPI:1700097722
Name:COREY, WILLIAM STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:STEVEN
Last Name:COREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 TRICOM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9171
Mailing Address - Country:US
Mailing Address - Phone:843-797-5050
Mailing Address - Fax:843-797-3633
Practice Address - Street 1:2880 TRICOM ST
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9171
Practice Address - Country:US
Practice Address - Phone:843-797-5050
Practice Address - Fax:843-797-3633
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC32109207X00000X, 207XX0004X
WV22377208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC321093Medicaid
SC461555OtherMEDICAID DME GROUP
SCDU4331OtherARCIS HEALTHCARE RAILROAD MEDICARE GROUP
SCGP6337OtherARCIS HEALTHCARE MEDICAID GROUP
SC1326287434OtherMEDICAID DME NPI
SCD043OtherARCIS HEALTHCARE MEDICARE GROUP
SC1326287434OtherMEDICAID DME NPI
SC20000499OtherSELECT HEALTH GROUP
SC20076508OtherSELECT HEALTH DME
SCCD2877OtherMEDICARE RAILROAD GROUP
SC1701OtherMEDICARE GROUP
SCP01297614OtherRAILROAD MEDICARE (ARCIS HEALTHCARE)
SCDU4331OtherARCIS HEALTHCARE RAILROAD MEDICARE GROUP
SC1701OtherMEDICARE GROUP
SCGP6337OtherARCIS HEALTHCARE MEDICAID GROUP