Mary E Cordle (NPI# 1316963911, PAC ID# 9739174582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316963911 |
| PAC ID by PECOS | 9739174582 |
| Professional Enrollment ID | I20140108000648 |
| Full Name | Mary E Cordle |
| Organization Legal Name | SHAPIRO DIMITRI MEDICAL, LLC |
| Address |
1312 22nd Ave A Meridian MS 39301-4015 |
| Phone Number | 6017012220 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5698927796 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1312 22nd Ave A, Meridian, MS 39301-4015 | 6017012220 | SHAPIRO DIMITRI MEDICAL, LLC |
| 4105 Hospital St, Suite 102, Pascagoula, MS 39581-5312 | 6014851131 | SHAPIRO DIMITRI MEDICAL, LLC |
| Organization Legal Name | SHAPIRO DIMITRI MEDICAL, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grenisha Young | Nurse Practitioner | Shapiro Dimitri Medical, LLC | 908 Municipal Dr, Brandon, MS 39042-2973 |
| Carmeshia M Cain | Nurse Practitioner | Shapiro Dimitri Medical, LLC | 908 Municipal Dr, Brandon, MS 39042-2973 |
| James Erik Cooksey | Nurse Practitioner | Shapiro Dimitri Medical, LLC | 908 Municipal Dr, Brandon, MS 39042-2973 |
| Street Address |
1312 22ND AVE A |
| City | MERIDIAN |
| State | MS |
| Zip | 39301-4015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Mcgilbra | Psychiatry | 5000 Hwy 39 N, Meridian, MS 39301-0210 | |
| Anna A Wile | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Vanessa Norman | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Miyako Mccloud | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Britney Deon Kersh | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Richard A Nance | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Emily Kate Matthews | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Jonathan D Baker | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Particia L Dudley | Psychiatry | Psychology Associates, LLC | 5004 Hwy 39 N, Meridian, MS 39301-1021 |
| Justin A Jones | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Find all physicians in zip 39301 | |||
| City | MERIDIAN |
| Zip Code | 39301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERIDIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary E Cordle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.