Active NPI
Jennifer Price Corder, M.D.
- Pediatrics Physician
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0044099
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0044099 | Other | MD | MEDICAL LICENSE |
| M94205 | Other | MD | CDS LICENSE GARRETT COUNTY MARYLAND |
| M94285 | Other | MD | CDS 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegany County Health Department/Joseph S Massie Unit | Current | Accepting new patients | |
| Allegany County Health Department | Current | Accepting new patients | |
| Garrett County Health Department | Current | Accepting new patients | |
| Garrett County Health Dept-Substance Abuse | Current | Accepting new patients | |
| Garrett County Health Department | Current | Accepting new patients | |
| Allegany County Health Department | Current | 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.
-
- Community Health Clinic/Center
- Cumberland, MD
- NPI 1265556815
-
- Public Health or Welfare Agency
- Oakland, MD
- NPI 1568411619
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cumberland, MD
- NPI 1154463495
-
- Community/Behavioral Health Agency
- Cumberland, MD
- NPI 1265838635
-
- Children's Substance Abuse Rehabilitation Facility
- Cumberland, MD
- NPI 1942360490
-
- Substance Abuse Rehabilitation Facility
- Cumberland, MD
- NPI 1013286137
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oakland, MD
- NPI 1326096751
-
- Community/Behavioral Health Agency
- Oakland, MD
- NPI 1477943108
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.