Active NPI
Donna M Corder MD PA
- Ophthalmology Physician
- Pensacola, FL
National Provider Identifier
1710219084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME64088
- Legal business name
- DONNA M CORDER MD PA
- Practice address
- 3421 N 12TH Ave
Pensacola, FL 32503-4008 - Phone
- (850) 432-4733
- Fax
- (850) 432-4788
- NPI assigned
- Feb 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donna Marie Corder, MD
- Title
- Owner
- Phone
- (850) 432-4733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME64088 | FL | Primary |
Addresses
Primary practice location
3421 N 12TH Ave
Pensacola, FL 32503-4008
Mailing address
3421 N 12TH Ave
Pensacola, FL 32503-4008
Phone (850) 432-4733
National Provider Directory
National Provider DirectoryLocations
3421 N 12th Ave
Pensacola, FL 32503
Phone (850) 432-4733
907 Garden Gate Cir
Pensacola, FL 32504
Phone (850) 476-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1710219084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325034008",
"telephone_number": "850-432-4733",
"fax_number": "850-432-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 N 12TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325034008",
"telephone_number": "850-432-4733",
"fax_number": "850-432-4788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONNA M CORDER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-11",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "CORDER",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-432-4733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME64088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.