CORDELL V PRECIADO (NPI# 1477599199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477599199 |
| Entity Type | Individual |
| Full Name | CORDELL V PRECIADO |
| Credential | MD |
| Practice Address |
120 E 2nd St 3rd Floor Erie PA 16507-1537 |
| Practice Telephone | 8148774990 |
| Practice Fax Number | 8148775331 |
| Mailing Telephone | 8148774990 |
| Mailing Fax Number | 8148775331 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD431181 | PA | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
ME99577 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101236211 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
120 E 2ND ST 3RD FLOOR |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961564 | Paul Demjanenko | Internal Medicine | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2005-06-08 |
| 1114491958 | Brian David Blair | Nurse Practitioner | 120 E 2nd St, Erie, PA 16507-1537 | 2019-01-15 |
| 1992248934 | Brande Dietrich-mclean | Nurse Practitioner | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2016-11-23 |
| 1649722117 | Valerie A Tharp | Physician Assistant | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2016-10-31 |
| 1053861856 | Susan Troutner | Psychologist | 120 E 2nd St, Third Floor, Erie, PA 16507-1537 | 2016-10-05 |
| 1487104220 | Christa M Norman | Physician Assistant | 120 E 2nd St, Erie, PA 16507-1537 | 2016-10-05 |
| 1255889481 | Cynthia Ann Chuzie-mcdowell | Nurse Practitioner | 120 E 2nd St, Suite #401, Erie, PA 16507-1537 | 2016-09-16 |
| 1104290915 | Mary Jill Vaillancourt | Registered Nurse | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2015-11-17 |
| 1841670155 | Alyssa Drushel | Physician Assistant | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1537 | 2015-06-02 |
| 1558768846 | Abigail Lee Trapp | Physician Assistant | 120 E 2nd St, Erie, PA 16507-1537 | 2014-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619921178 | Jacob M Agris | Radiology | 1910 Sassafras St, Suite 200, Erie, PA 16502-2716 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306114061 | Andres Moreno De Luca | Radiology | 100 N Academy Ave # Mc20-07, Danville, PA 17822-9800 | 2011-12-09 |
| 1801179155 | Ari Spiro | Radiology | 200 Lothrop St Dept Of, Pittsburgh, PA 15213-2582 | 2011-09-22 |
| 1164664421 | Vitaly Izgur | Radiology | 2201 Strahle St, Apt A-12, Philadelphia, PA 19152-2530 | 2009-04-01 |
| 1588819858 | Alvaro Jose Zuluaga | Radiology | 811 Waverly Rd, Kennett Square, PA 19348-1452 | 2008-11-29 |
| 1184829335 | Amy Kulkarni | Radiology | 348 Royal Hunt Way, Lititz, PA 17543-7614 | 2007-06-18 |
| 1649491200 | William Throm Delfyett | Radiology | Upmc Department of Radiology, 200 Lothrop Street, Pittsburgh, PA 15213 | 2007-05-01 |
| 1396882585 | Vanitha J Rodrigues | Radiology | 750 Old Lancaster Rd, Apt # C-109, Berwyn, PA 19312-1324 | 2007-01-30 |
| 1013081413 | Adams Diagnostic Imaging, LLC | Radiology | 20 Expedition Trail, Suite 102, Gettysburg, PA 17325 | 2006-11-17 |
| 1487730784 | Basem Moustafa Hussein | Radiology | 3945 Forbes Ave, Pittsburgh, PA 15213-3507 | 2006-10-29 |
| 1164536827 | National Imaging P.C. | Radiology | 1903 S Broad St # 05, Philadelphia, PA 19148-2216 | 2006-08-19 |
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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.