Individual provider Active NPI

Gary Edward Cordingley, MD

  • Neurology Physician
  • Athens, OH
National Provider Identifier
1184715526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
048757 Issued in OH
Practice address
75 Hospital Drive
Suite 360
Athens, OH 45701
Phone
(740) 594-8147
Fax
(740) 594-8148
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 048757 OH Primary

Addresses

Primary practice location

75 Hospital Drive
Suite 360
Athens, OH 45701

Mailing address

75 Hospital Drive
Suite 360
Athens, OH 45701
Phone (740) 594-8147

Other identifiers 3

IdentifierTypeStateIssuer
31106661900OtherOHBWC
0512609MedicaidOH
P00173094OtherRAILROAD CARRIER MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000170 OH Practitioner - Neurology 3870559107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Duke University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Recovery Services IncGroup PAC ID 5890729412, 7 clinicians

Practice addresses (Care Compare)

224 Columbus Rd
Suite 101
Athens, OH 45701-1350
Phone (740) 592-6724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
048757OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Recovery Services, Inc CurrentSince Dec 19, 2019 Accepting new patients
Health Recovery Services, Inc CurrentSince Dec 19, 2019 Accepting new patients
Tri-County Mental Health & Counseling Services, Inc Past Accepting new patients

Locations

224 Columbus Rd
Ste 101
Athens, OH 45701
Phone (740) 592-6724

224 Columbus Rd
Athens, OH 45701
Phone (740) 592-6720

100 Hospital Dr
Athens, OH 45701
Phone (740) 589-4136

10050 Bassett Rd
Athens, OH 45701
Phone (740) 594-8108

120 Twin Oaks Dr
Jackson, OH 45640
Phone (740) 570-3450

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184715526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DRIVE",
            "address_2": "SUITE 360",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-594-8147",
            "fax_number": "740-594-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DRIVE",
            "address_2": "SUITE 360",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "45701",
            "telephone_number": "740-594-8147",
            "fax_number": "740-594-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDINGLEY",
        "first_name": "GARY",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "048757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "31106661900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0512609",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARRIER MEDICARE",
            "identifier": "P00173094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.