Maria Adela A. Cordoba-Naguit, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301073146 Issued in MI

Practice address

502 E Cummins St
Tecumseh, MI 49286-2074

Phone

(517) 423-5508

Fax

(517) 423-4772

NPI assigned

Jul 18, 2005

Last updated

Jan 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1699774133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E CUMMINS ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862074",
            "telephone_number": "517-423-5508",
            "fax_number": "517-423-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E CUMMINS ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862074",
            "telephone_number": "517-423-5508",
            "fax_number": "517-423-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOBA-NAGUIT",
        "first_name": "MARIA ADELA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0804610351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "03680",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Church
• Adria Michelle Clark, LLMSW
• Caroline Clift
• Madelyn Cole
• Ariana Constantine
• Kameryn Brooke Cornell
• Georgianna Covell, RN
• Creative Counseling Center
• Cunningham Vision Centers
• Thomas G Cunningham, OD

• Family Medicine Physician in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.