Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Cory B Maughan, DO

Individual provider General Practice Physician · NPI 1598086720

Dr. Cory B Maughan, DO is a Micrographic Dermatologic Surgery (Mds) in Providence, Utah. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2010, 16 years ago. Practices with LP Derm LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
16
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
OR, UT
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

169 N Gateway Dr Ste 100
Providence, UT 84332
Phone: (541) 999-4475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5600 Eubank Blvd Ne Ste 110, Albuquerque, NM 87111-1519 — (505) 292-5850

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 9869105-1204 (UT)
General Practice Physician Taxonomy 208D00000X · Licence PG151474 (OR)
Dermatology Physician Taxonomy 207N00000X · Licence DO155462 (OR)

Record details

NPI number1598086720
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 22, 2010
Last updated in NPPESFebruary 16, 2023
Certification dateSeptember 6, 2022
Mailing address7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2010 (16 years in practice)
Group practice Lp Derm Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare