Provider Demographics
NPI:1154339067
Name:CORT, DAVID ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ARTHUR
Last Name:CORT
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 1:125 HOSPITAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPRUCE PINE
Mailing Address - State:NC
Mailing Address - Zip Code:28777
Mailing Address - Country:US
Mailing Address - Phone:828-765-4201
Mailing Address - Fax:828-765-0824
Practice Address - Street 1:125 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777
Practice Address - Country:US
Practice Address - Phone:828-765-4201
Practice Address - Fax:828-765-0824
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16847207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC24615OtherBCBS INDIVIDUAL PROVIDER
NC3400011OtherMEDCAID
NC235013OtherMEDICARE PHYSICIAN
NC8907673OtherMEDICAID PHYSICIAN
NC00513OtherBCBS
NC014MXOtherBCBS LABS
NC235013BOtherMEDICARE PHYSICIAN
NC8924615Medicaid
NC07673OtherBCBS PHYSICIAN
C83349Medicare UPIN
NC00513OtherBCBS
NC24615OtherBCBS INDIVIDUAL PROVIDER