Active NPI
Alan Edwin Cordts, M.D.
- Surgery Physician
- Falmouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39282
- Practice address
- 78 Main Street
Falmouth, MA 02540 - Phone
- (508) 367-3937
- Fax
- (508) 548-7407
- NPI assigned
- Oct 17, 2006
- Last updated
- Mar 24, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39282 | MA | Primary |
| Vascular Surgery Physician | 2086S0129X | 39282 | MA | |
| Surgery Physician | 208600000X | 47782 | AZ | |
| Surgery Physician | 208600000X | 31234 | OK | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MA |
Addresses
Primary practice location
78 Main Street
Falmouth, MA 02540
Mailing address
78 Main Street
Falmouth, MA 02540
Phone (508) 367-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2097699 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31234 | OK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| High Point Treatment Center Inc. | Current | Accepting new patients | |
| Kenneth a. Heisler, M.D.P.C. | Surgery | Past | Accepting new patients |
Locations
72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448
1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527
61 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 746-8977
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
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.
-
- Counselor
- New Bedford, MA
- NPI 1518996354
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Surgery Physician
- Falmouth, MA
- NPI 1598946709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1477634681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 MAIN STREET",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "02540",
"telephone_number": "508-367-3937",
"fax_number": "928-729-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MAIN STREET",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "02540",
"telephone_number": "508-367-3937",
"fax_number": "508-548-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDTS",
"first_name": "ALAN",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "39282",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MA",
"license": "39282",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "47782",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "31234",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2097699",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.