Individual provider Active NPI

Charlene E Cordes, MA

  • Audiologist
  • Fort Wayne, IN
National Provider Identifier
1477539690
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
230002344A Issued in IN
Practice address
9604 Coldwater Rd
Suite 107
Fort Wayne, IN 46825-2096
Phone
(260) 387-5820
Fax
(260) 828-7823
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 230002344A IN Primary

Addresses

Primary practice location

9604 Coldwater Rd
Suite 107
Fort Wayne, IN 46825-2096

Mailing address

9604 Coldwater Rd
Suite 101
Fort Wayne, IN 46825-2096
Phone (260) 387-5820

Other identifiers 1

IdentifierTypeStateIssuer
200483110MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080912000000 IN Practitioner - Qualified Audiologist 0446326607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Associates PCGroup PAC ID 3375504301, 36 clinicians

Practice addresses (Care Compare)

10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
230002344AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Associates, PC CurrentSince Oct 25, 2024 Accepting new patients
The Hearing Center LLC Audiologist CurrentSince Dec 1, 2025 Accepting new patients

Locations

424 Williams St
Angola, IN 46703
Phone (260) 665-2926

1169 N Main St
Ste 5
Bluffton, IN 46714
Phone (260) 827-4368

7926 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 459-6924

5411 Meijer Dr
Fort Wayne, IN 46835
Phone (260) 469-6919

10021 DuPont Circle Ct
Fort Wayne, IN 46825
Phone (219) 426-8117

2814 Theater Ave
Huntington, IN 46750
Phone (260) 356-3611

2003 Stults Rd
Ste 220
Huntington, IN 46750
Phone (260) 463-2133

1655 N Cass St
Wabash, IN 46992
Phone (260) 463-2133

737 N Detroit St
Warsaw, IN 46580
Phone (260) 436-0259

140 Fox Rd
Van Wert, OH 45891
Phone (419) 238-7700

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1477539690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 COLDWATER RD",
            "address_2": "SUITE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252096",
            "telephone_number": "260-387-5820",
            "fax_number": "260-828-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 COLDWATER RD",
            "address_2": "SUITE 107",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252096",
            "telephone_number": "260-387-5820",
            "fax_number": "260-828-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "CHARLENE",
        "middle_name": "E",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "230002344A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200483110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.