Organization Active NPI

Donna M Corder MD PA

  • Ophthalmology Physician
  • Pensacola, FL
National Provider Identifier
1710219084
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME64088 Issued in FL
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

Updated by the provider on Feb 11, 2010

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.