Active NPI
Ronald E. Cordell, M.D.
- Diagnostic Radiology Physician
- Charleston, WV
National Provider Identifier
1346244944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 12509
- Practice address
- 1120 Kanawha Blvd E
Charleston, WV 25301-2400 - Phone
- (304) 344-3457
- Fax
- (304) 344-3480
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 12509 | WV | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 12509 | WV |
Addresses
Primary practice location
1120 Kanawha Blvd E
Charleston, WV 25301-2400
Mailing address
PO Box 11137
Charleston, WV 25339-1137
Phone (304) 344-3457
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119969000 | Medicaid | WV | |
| A72575 | Other | WV | BRICKSTREET INSURANCE |
| 0130753 | Other | WV | UMWA |
| 0828206 | Medicaid | OH | |
| 14175 | Medicaid | WV | |
| 14193 | Other | WV | CARELINK & CARELINK PEIA |
| 64696990 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Charleston Radiation Therapy Consultants PLLC | Past | Accepting new patients | |
| Greenbrier Clinic, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Charleston, WV
- NPI 1649275728
-
- Radiation Oncology Physician
- Charleston, WV
- NPI 1942208145
-
- Internal Medicine Physician
- White Sulphur Springs, WV
- NPI 1043258783
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1346244944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11137",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253391137",
"telephone_number": "304-344-3457",
"fax_number": "304-344-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 KANAWHA BLVD E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012400",
"telephone_number": "304-344-3457",
"fax_number": "304-344-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDELL",
"first_name": "RONALD",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "12509",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WV",
"license": "12509",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119969000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET INSURANCE",
"identifier": "A72575",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "0130753",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0828206",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14175",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK & CARELINK PEIA",
"identifier": "14193",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64696990",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.