JORGE FERNANDEZ DECORDOVA (NPI# 1861487670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861487670 |
| Entity Type | Individual |
| Full Name | JORGE FERNANDEZ DECORDOVA |
| Credential | M.D. |
| Practice Address |
901 Macarthur Munster IN 46321-2901 |
| Mailing Address |
Po Box 10805 Merrillville IN 46410-0805 |
| Practice Telephone | 2198364622 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2012-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01045112A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200131350 | 05 |
| Street Address |
901 MACARTHUR |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780679563 | Brenda L Eriksen | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2005-09-16 |
| 1265680011 | Yiqing Chi | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2008-09-05 |
| 1700871514 | Heidi A Nordbrock | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2005-09-19 |
| 1003801812 | Ruth D Goldberg | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2005-09-19 |
| 1881689602 | Zhuowen Zeng | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2005-09-19 |
| 1891780698 | Rosita S Ngo | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2005-09-19 |
| 1962497784 | Florencio S Carandang | Pathology | 901 Macarthur, Munster, IN 46321-2961 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780679563 | Brenda L Eriksen | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2005-09-16 |
| 1699038356 | Todd Dejulio | Pathology | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2012-06-18 |
| 1447510037 | Mei Li | Pathology | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2012-05-17 |
| 1881822740 | Tiffany A Thurow | Pathology | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2009-06-30 |
| 1265680011 | Yiqing Chi | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2008-09-05 |
| 1487618963 | Domenico Lazzaro | Pathology | 701 Superior Ave, Munster, IN 46321-4037 | 2006-04-13 |
| 1629032065 | Pathology Solutions, P.C. | Pathology | 761 45th Ave, Munster, IN 46321-2893 | 2006-04-13 |
| 1104812627 | Nadine Kelly | Pathology | 901 Macarthur Blvd, Pathology Department, Munster, IN 46321-2901 | 2005-09-20 |
| 1700871514 | Heidi A Nordbrock | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2005-09-19 |
| 1003801812 | Ruth D Goldberg | Pathology | 901 Macarthur, Munster, IN 46321-2901 | 2005-09-19 |
| Find all providers in MUNSTER | ||||
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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.