Individual provider Active NPI

Jennifer Price Corder, M.D.

  • Pediatrics Physician
  • Cumberland, MD
National Provider Identifier
1801977558
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0044099 Issued in MD
Practice address
12501 Willowbrook Rd
Cumberland, MD 21502-2569
Phone
(301) 759-5000
Fax
(301) 759-5000
NPI assigned
Oct 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0044099 MD Primary

Addresses

Primary practice location

12501 Willowbrook Rd
Cumberland, MD 21502-2569

Mailing address

1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7700

Other practice location 1

1025 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 334-7700

Other identifiers 3

IdentifierTypeStateIssuer
D0044099OtherMDMEDICAL LICENSE
M94205OtherMDCDS LICENSE GARRETT COUNTY MARYLAND
M94285OtherMDCDS LICENSE ALLEGANY COUNTY MARYLAND

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20170804002581 MD Practitioner - Pediatric Medicine 9830460161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Maryland School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12501 Willowbrook Rd
Cumberland, MD 21502-2569
Phone (301) 759-5127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allegany County Health Department/Joseph S Massie Unit CurrentSince Jul 1, 2017 Accepting new patients
Allegany County Health Department Current Accepting new patients
Garrett County Health Department CurrentSince Nov 18, 2017 Accepting new patients
Garrett County Health Dept-Substance Abuse CurrentSince Nov 18, 2017 Accepting new patients
Garrett County Health Department Current Accepting new patients
Allegany County Health Department CurrentSince Jul 1, 2017 Accepting new patients
Allegany County Health Department Past Accepting new patients
Allegany County Health Department Past Accepting new patients

Locations

12501 Willowbrook Rd
Cumberland, MD 21502
Phone (301) 759-5000

1025 Memorial Dr
Oakland, MD 21550
Phone (301) 334-7680

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801977558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-334-7700",
            "fax_number": "301-334-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022569",
            "telephone_number": "301-759-5000",
            "fax_number": "301-759-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215504343",
            "country_code": "US",
            "telephone_number": "301-334-7700",
            "fax_number": "301-334-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDER",
        "first_name": "JENNIFER",
        "middle_name": "PRICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0044099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0044099",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS LICENSE GARRETT COUNTY MARYLAND",
            "identifier": "M94205",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS LICENSE ALLEGANY COUNTY MARYLAND",
            "identifier": "M94285",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.