Active NPI
Rodrigo Cordero Tanchanco, MD
- Internal Medicine Physician
- Middletown, DE
National Provider Identifier
1356344816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C10004917
- Practice address
- 102 Sleepy Hollow Dr
Suite 101
Middletown, DE 19709-5841 - Phone
- (302) 376-9888
- Fax
- (302) 376-9160
- NPI assigned
- May 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C10004917 | DE | Primary |
Addresses
Primary practice location
102 Sleepy Hollow Dr
Suite 101
Middletown, DE 19709-5841
Mailing address
102 Sleepy Hollow Dr
Ste 101
Middletown, DE 19709-8894
Phone (302) 376-9888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10004917 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of Delaware, LLC | Past | Accepting new patients | |
| Christiana Medical Group, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Middletown, DE
- NPI 1265487128
-
- Hospitalist Physician
- Newark, DE
- NPI 1841231149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1356344816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SLEEPY HOLLOW DR",
"address_2": "STE 101",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197098894",
"telephone_number": "302-376-9888",
"fax_number": "302-376-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 SLEEPY HOLLOW DR",
"address_2": "SUITE 101",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197095841",
"telephone_number": "302-376-9888",
"fax_number": "302-376-9160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANCHANCO",
"first_name": "RODRIGO",
"middle_name": "CORDERO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C10004917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Desiree Aline Surguy, FNP-C
- Agnes Khalid Adel Sweileh, RPH
- Katherine Taylor, MSN, RN, CPN, CBS
- Manisha Judeline Telfort
- Tender Love Inn Care Transportation
- Tfynn Inc
- Adele Thaxton, MSN, RN, BCTMB LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.