Andrea Cordova-Ogg, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME138497 Issued in FL

Practice address

27810 Summergate Blvd
Wesley Chapel, FL 33544-6919

Phone

(813) 388-2948

Fax

(813) 388-6827

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Cordova Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1760735534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27810 SUMMERGATE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446919",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27810 SUMMERGATE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446919",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7474 Greenway Center Drive",
            "address_2": "Suite 1000",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "20770",
            "country_code": "US",
            "telephone_number": "240-965-3271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 Powder Mill Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024723",
            "country_code": "US",
            "telephone_number": "717-848-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5715 Mosholu Ave Apt 6B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104712230",
            "country_code": "US",
            "telephone_number": "571-278-6935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38011 Arbor Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335401301",
            "country_code": "US",
            "telephone_number": "813-395-5127",
            "fax_number": "813-355-3085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 W Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115002",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7550 N Dale Mabry Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143226",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-249-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11946 Boyette Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335695601",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-574-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA-OGG",
        "first_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME138497",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME138497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CORDOVA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Douglas Coon Jr., APRN
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• Seth A Cooper, M.D.
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• Adrianna Cornett, LMT
• Nicole Correll, PHARMD
• Ana Martina Cosma

• Interventional Pain Medicine Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.
• 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.