Diego R Cordoba, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

035116-L Issued in PA

Practice address

100 Medical Arts BLDG
Suite 140
Kittanning, PA 16201-7135

Phone

(724) 548-4701

Fax

(724) 548-2003

NPI assigned

Sep 13, 2006

Last updated

Apr 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diego R. Cordoba, M.D. LTD

  • Internal Medicine Physician
  • Kittanning, PA
  • NPI 1558468389
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1053416388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL ARTS BLDG",
            "address_2": "SUITE 140",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017135",
            "telephone_number": "724-548-4701",
            "fax_number": "724-548-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL ARTS BLDG",
            "address_2": "SUITE 140",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017135",
            "telephone_number": "724-548-4701",
            "fax_number": "724-548-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOBA",
        "first_name": "DIEGO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "035116-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010179980003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Alexandra Cohen, M.D.
• Cole Vision Corporation (Sears Optical #C1374)
• Nicole R Coleman-Hammett
• Curt P Conry, M.D.
• Coordinated Kidney Care Group, Inc.
• County of Armstrong
• Dallas Joseph Cousins, RN,NP
• Madison M Coyle, RN
• David Cribbs, RN, BSN
• Barbara Ellen Crissman

• Cardiovascular Disease Physician in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.