Active NPI
Mara Angelica Cordner
- Family Medicine Physician
- Niles, OH
National Provider Identifier
1184468001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- APRN.CNP.0036788
- Practice address
- 1500 McKinley Ave
Niles, OH 44446-3718 - Phone
- (330) 953-3300
- NPI assigned
- Jun 24, 2024
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN.CNP.0036788 | OH | Primary |
Addresses
Primary practice location
1500 McKinley Ave
Niles, OH 44446-3718
Mailing address
1203 Cross Dr
Youngstown, OH 44515-3874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0036788 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1184468001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 CROSS DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445153874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MCKINLEY AVE",
"city": "NILES",
"state": "OH",
"postal_code": "444463718",
"telephone_number": "330-953-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDNER",
"first_name": "MARA",
"middle_name": "ANGELICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "APRN.CNP.0036788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.