CORY ADEN-WANSBURY, M.D. — NPI 1033145578 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MEDFORD, OR)

CMS-1500 Box 24J / 33a • NPI

1033145578

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

261Q00000X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

6151 DARK HOLLOW RD, MEDFORD, OR, 97501-4866

✓ 9-Digit EDI 837 ZIP+4 (97501-4866)

Practice Phone & Referral Fax

(541) 512-8814

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033145578 (CORY ADEN-WANSBURY, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033145578` (NPI-1 Individual Practitioner)
Provider / Legal Name	CORY ADEN-WANSBURY, M.D.
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261Q00000X` (Clinic/Center)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	6151 DARK HOLLOW RD, MEDFORD, OR, 97501-4866
Practice Telephone / Fax	Tel: (541) 512-8814
Administrative Mailing Address	6151 DARK HOLLOW RD, MEDFORD, OR, 97501-4866
Enumeration & Last Sync	Enumerated: 2006-06-25 \| CMS Record Updated: 2008-08-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6151 DARK HOLLOW RD, MEDFORD, OR, 97501-4866

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Plain-English Taxonomy & CMS Crosswalk (261Q00000X)

What Does Taxonomy Code 261Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261Q00000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CORY ADEN-WANSBURY, M.D.)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207YX0602X` — Otolaryngology, Otolaryngic Allergy Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy	State: CA \| License: `G22730` \| Primary: Secondary
`261Q00000X` — Clinic/Center Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: OR \| License: `MD23944` \| Primary: Yes (Primary)
`261QP2400X` — Clinic/Center, Prison Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: OR \| License: `MD23944` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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CORY ADEN-WANSBURY, M.D. (NPI #1033145578)