Individual provider Active NPI

Steven Cordero, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pinehurst, NC
National Provider Identifier
1821259862
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2014-02007 Issued in NC
Practice address
30 Page St
Pinehurst, NC 28374-7928
Phone
(910) 687-4188
Fax
(910) 235-0171
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101246143 VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2014-02007 NC Primary

Addresses

Primary practice location

30 Page St
Pinehurst, NC 28374-7928

Mailing address

PO Box 4270
Pinehurst, NC 28374-4270
Phone (910) 687-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200616002496 NC Practitioner - Pathology 9638591829 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Physicians and Associates PAGroup PAC ID 0244134468, 101 clinicians
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians
Marlboro Chesterfield Pathology, PCGroup PAC ID 4486546819, 8 clinicians
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians
Wilmington Gastroenterology Associates, PAGroup PAC ID 2163315672, 21 clinicians

Practice addresses (Care Compare)

1002 N Church St
Suite 201
Greensboro, NC 27401-1448
Phone (336) 378-0713

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511

30 Page St
Pinehurst, NC 28374-7928
Phone (910) 687-4188

3100 Wellons Blvd
New Bern, NC 28562-5247
Phone (252) 634-9000

5115 Oleander Dr
Wilmington, NC 28403-7018
Phone (910) 362-1011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-02007NCMDAnatomic Pathology & Clinical Pathology Physician
0101246143VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. CurrentSince Feb 18, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Feb 18, 2024 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Wilmington Gastroenterology Associates,PA CurrentSince May 13, 2024 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Marlboro Chesterfield Pathology, PC Anatomic Pathology & Clinical Pathology CurrentSince Oct 22, 2023 Accepting new patients
Marlboro Chesterfield Pathology, PC CurrentSince Jan 1, 2024 Accepting new patients
Coastal Carolina Health Care, PA CurrentSince Jan 1, 2024 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Jan 2, 2024 Accepting new patients
Coastal Carolina Health Care PA CurrentSince Jan 1, 2024 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Jan 2, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

1002 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 378-0713

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

3100 Wellons Blvd
New Bern, NC 28562
Phone (252) 634-9000

30 Page St
Pinehurst, NC 28374
Phone (910) 205-8000

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1821259862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4270",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744270",
            "telephone_number": "910-687-4188",
            "fax_number": "910-235-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PAGE ST",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747928",
            "telephone_number": "910-687-4188",
            "fax_number": "910-235-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101246143",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2014-02007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.