Individual provider Active NPI

Tammy Marie Kordas, AUD

  • Audiologist
  • Syracuse, NY
National Provider Identifier
1619147352
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001811-1 Issued in NY
Practice address
805 South Crouse
Room 200
Syracuse, NY 13244-0001
Phone
(315) 443-4485
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001811-1 NY Primary

Addresses

Primary practice location

805 South Crouse
Room 200
Syracuse, NY 13244-0001

Mailing address

805 South Crouse
Room 200
Syracuse, NY 13244-0001
Phone (315) 443-4485

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307001003 NY Practitioner - Qualified Audiologist 7719169168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse UniversityGroup PAC ID 8527191626, 8 clinicians

Practice addresses (Care Compare)

621 Skytop Rd
Suite 1200
Syracuse, NY 13244-5290
Phone (315) 443-4485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001811NYMDOccupational Therapist
001811-1NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse University Audiologist Current Accepting new patients
Syracuse University CurrentSince Jul 1, 1994 Accepting new patients
Syracuse University CurrentSince Jul 1, 1994 Accepting new patients

Locations

621 Skytop Rd
Ste 1200
Syracuse, NY 13244
Phone (315) 443-4301

621 Skytop Rd
Syracuse, NY 13244
Phone (315) 443-4485

621 Skytop Rd 1200
Syracuse, NY 13244

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1619147352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SOUTH CROUSE",
            "address_2": "ROOM 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132440001",
            "telephone_number": "315-443-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SOUTH CROUSE",
            "address_2": "ROOM 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132440001",
            "telephone_number": "315-443-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDAS",
        "first_name": "TAMMY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001811-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.