DR. JOEHASSIN CORDERO (NPI# 1144204595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144204595 |
| Entity Type | Individual |
| Full Name | DR. JOEHASSIN CORDERO |
| Credential | M.D. |
| Practice Address |
3502 9th St Suite 410 Lubbock TX 79415-3300 |
| Mailing Address |
Po Box 5865 Lubbock TX 79408-5865 |
| Practice Telephone | 8067434115 |
| Practice Fax Number | 8067431313 |
| Mailing Telephone | 8067432898 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | L6841 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z5551 | 05 | |
| TX | HMO BLUE | 83935Z | 01 |
| TX | BC/BS | 87187G | 01 |
| NM | TRIWEST | A019 | 01 |
| Street Address |
3502 9TH ST SUITE 410 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000197 | Ronald L. Cook | Family Medicine | 3502 9th St, Suite 1c143, Lubbock, TX 79430-8143 | 2005-08-16 |
| 1700323045 | Courtney Michelle Arnold | Audiologist | 3502 9th St, Ste. 410, Lubbock, TX 79415-3300 | 2017-01-25 |
| 1497185458 | Kourtney Dunlap | Nurse Practitioner | 3502 9th St, Suite 430, Lubbock, TX 79415-3300 | 2013-11-12 |
| 1104163807 | Laura Durrett | Nurse Practitioner | 3502 9th St, Suite 170, Lubbock, TX 79415-3300 | 2013-01-15 |
| 1194060301 | Ashley Rochelle Hunter | Physician Assistant | 3502 9th St, Suite 110, Lubbock, TX 79415-3300 | 2012-11-29 |
| 1003150186 | Kevin Cole | Nurse Practitioner | 3502 9th St, Suite 430, Lubbock, TX 79415-3300 | 2012-11-15 |
| 1912255811 | Julie Owen | Physician Assistant | 3502 9th St, Suite 170, Lubbock, TX 79415-3300 | 2012-08-27 |
| 1699075960 | Autumn Beasley | Nurse Practitioner | 3502 9th St, Suite 360, Lubbock, TX 79415-3300 | 2010-11-02 |
| 1932439858 | Kashif Saleem | Family Medicine | 3502 9th St, Suite 110, Lubbock, TX 79415-3300 | 2009-12-29 |
| 1235465741 | Patricia R. Arledge, Md, Pllc | Plastic Surgery | 3502 9th St, Suite 270, Lubbock, TX 79415-3300 | 2009-10-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609961812 | Philip Alan Scolaro | Otolaryngology | 3802 22nd St, Suite 200, Lubbock, TX 79410-1107 | 2006-10-04 |
| 1134112865 | William Russell Fell | Otolaryngology | 3802 22nd, #100, Lubbock, TX 79410 | 2005-08-29 |
| 1740283571 | Mark L. Winter | Otolaryngology | 4432 S Loop 289, Lubbock, TX 79414-5005 | 2005-05-24 |
| 1023539426 | Rahul Mahendra Varman | Otolaryngology | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2017-07-06 |
| 1790019784 | Ear Nose and Throat Associates of Lubbock Pa | Otolaryngology | 3802 22nd St, Suite 200, Lubbock, TX 79410-1107 | 2009-09-24 |
| 1649456542 | Kim E Pershall Md Pa | Otolaryngology | 3811 24th Street, Lubbock, TX 79410-1813 | 2008-01-10 |
| 1063632974 | Joshua Charles Demke | Otolaryngology | 3601 4th St Fl 4, Lubbock, TX 79430-0002 | 2007-04-26 |
| 1124177423 | Sanford T. Ward, D.o., Professional Associatiion | Otolaryngology | 3719 22nd St, Lubbock, TX 79410-1329 | 2007-01-09 |
| 1043259112 | Thomas F Neal | Otolaryngology | 3621 22nd St, Ste 300, Lubbock, TX 79410-1301 | 2006-06-05 |
| 1548209810 | Stan E Potocki | Otolaryngology | 3621 22nd St, Ste 300, Lubbock, TX 79410-1301 | 2006-06-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.