JUAN CORDERO (NPI# 1740224245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740224245 |
| Entity Type | Individual |
| Full Name | JUAN CORDERO |
| Credential | M.D. |
| Practice Address |
505 Dutchmans Ln Ste A3 Easton MD 21601-4302 |
| Mailing Address |
2001 Medical Pkwy Medical Staff Office Annapolis MD 21401-8943 |
| Practice Telephone | 4108222440 |
| Practice Fax Number | 4108222441 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D57950 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 986800300 | 05 | |
| MD | BCBS | AT540006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474151 | Juan A Cordero Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Goethals Dr, 3rd Floor, Richland, WA 99352-3304 | 2005-08-15 |
| 1831506476 | Juan Carlos Cordero | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2014-07-15 |
| Street Address |
505 DUTCHMANS LN STE A3 |
| City | EASTON |
| State | MD |
| Zip Code | 21601-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184002586 | Genesis Vascular of Lehigh Valley, LLC | Internal Medicine | 2111 Washington Blvd Ste 1, Easton, PA 18042-3803 | 2015-05-18 |
| 1376989467 | Thomas Fauntleroy Jr. | Internal Medicine | 27809 Waverly Rd, Easton, MD 21601-8123 | 2013-05-15 |
| 1932329117 | Harold Wesley Draper | Internal Medicine | 9241 Chapel Road, Easton, MD 21601-6363 | 2007-04-27 |
| 1174624530 | Pradeep S. Ghia, M.d., P.C. | Internal Medicine | 123 S 22nd St, Easton, PA 18042-3808 | 2006-09-26 |
| 1346220019 | Morton E Kalus Jr. | Internal Medicine | 500 Cadmus Ln Ste 207, Easton, MD 21601 | 2006-01-19 |
| 1861494056 | Easton Cardiovascular Associates, PC | Internal Medicine | 175 S 21st St, Easton, PA 18042-3835 | 2005-06-01 |
| 1679575856 | Gary Costacurta | Internal Medicine | 2001 Fairview Ave, Easton, PA 18042-3915 | 2005-06-01 |
| 1750947388 | Anne Arundel Physician Group, LLC | Internal Medicine | 28438 Marlboro Ave, Easton, MD 21601-2732 | 2019-05-20 |
| 1326584863 | Dr Mascarenhas Cardiology | Internal Medicine | 175 S 21st Street, Easton, PA 18042 | 2017-01-09 |
| 1558810176 | Anne Arundel Physician Group, LLC | Internal Medicine | 505 Dutchmans Ln, Easton, MD 21601-4302 | 2016-09-23 |
| Find all providers in EASTON | ||||
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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.