Individual provider Active NPI

Rodrigo Cordero Tanchanco, MD

  • Internal Medicine Physician
  • Middletown, DE
National Provider Identifier
1356344816
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10004917 Issued in DE
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

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C10004917DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Delaware, LLC PastSince Oct 12, 2004 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.

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": []
}

Other providers in Middletown, DE

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.

Verify at the official NPI Registry.