SANDRA EDITH CORDOBA VARGAS (NPI# 1508135914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508135914 |
| Entity Type | Individual |
| Full Name | SANDRA EDITH CORDOBA VARGAS |
| Credential | MD |
| Practice Address |
10211 Roosevelt Ave Corona NY 11368-2331 |
| Practice Telephone | 7188981386 |
| Practice Fax Number | 7188981093 |
| Mailing Telephone | 7188981386 |
| Mailing Fax Number | 7188981093 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2016-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 266559 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 51014 | CT | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 051014 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03833878 | 05 | |
| CT | LICENSE | 51014 | 01 |
| Street Address |
10211 ROOSEVELT AVE |
| City | CORONA |
| State | NY |
| Zip Code | 11368-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376538553 | Cervantes B Pena | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2005-09-14 |
| 1912487588 | E T Medical Pllc | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2018-08-14 |
| 1821518978 | Lindsay Raveena Virdee | Registered Nurse | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2017-06-20 |
| 1942730395 | Sharon Fortgang | Registered Nurse | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2017-06-19 |
| 1174058200 | Yeh Ling Yiin Dillon | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2017-04-26 |
| 1861886723 | Hector M. Florimon | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2015-03-27 |
| 1437556370 | John B Halkias Physician PC | Clinic/Center | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2014-11-20 |
| 1417361122 | Maria C. Coe, Msrd,cdn,pc | Clinic/Center | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2014-06-20 |
| 1194151712 | Paul Edward Gonzalez | Pediatrics | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2013-09-16 |
| 1124453105 | Maria Gabriela Ponce Garcia | Internal Medicine | 10211 Roosevelt Ave, Corona, NY 11368-2331 | 2013-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578959318 | Hospitalist Group of Montebello Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
| 1649674391 | Hospitalists Associates Group Inc | Hospitalist | 160 W Foothill Pkwy # 105-200, Corona, CA 92882-8545 | 2014-10-09 |
| 1114168879 | Ghasan M Tabel Md Inc | Hospitalist | 160 W Foothill Pkwy, Suite 105-348, Corona, CA 92882-8545 | 2009-03-10 |
| 1487649604 | Sivakami K Sivapalan | Hospitalist | 1824 Lucy Ln, Corona, CA 92879-8612 | 2005-09-14 |
| 1568858306 | Sunrise Medical Associates Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
| 1760665665 | Sivakami K Sivapalan Md, Inc | Hospitalist | 1824 Lucy Ln, Corona, CA 92879-8612 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274454 | Nisar Alvi M.d. P.C. | Hospitalist | 2613 Pinebluff Dr, Vestal, NY 13850-2909 | 2017-02-20 |
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1174986228 | Niyati Ajit Bhagwat | Hospitalist | Nyu Winthrop Hospital, 259 1st Street, Mineola, NY 11501 | 2016-04-05 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1538520440 | Myung Sun Choi | Hospitalist | 1425 Portland Ave Ste 204, Rochester, NY 14621-3011 | 2016-03-19 |
| 1992177711 | Saroj Sapkota | Hospitalist | 11111 Liberty Ave, South Richmond Hill, NY 11419-1811 | 2015-10-21 |
| 1255715116 | Shorabh Sharma | Hospitalist | 4422 Third Ave Mills Building, Department of Internal Medicine, Bronx, NY 10457 | 2015-07-10 |
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1659787653 | Symphony Medical PC | Hospitalist | 27 S Washington Ave, Dobbs Ferry, NY 10522-1806 | 2014-07-10 |
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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.