Individual provider Active NPI

Carol D Cordrey, PA

  • Physician Assistant
  • Westminster, MD
National Provider Identifier
1851350607
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0001620 Issued in MD
Practice address
200 Memorial Avenue
Carroll Hospital Center
Westminster, MD 21157-5799
Phone
(410) 871-6700
Fax
(410) 871-7177
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0001620 MD Primary

Addresses

Primary practice location

200 Memorial Avenue
Carroll Hospital Center
Westminster, MD 21157-5799

Mailing address

1502 S Main St
Ste 104
Mount Airy, MD 21771-5374
Phone (301) 921-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0001620MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Contee Emergency Physicians Physician Assistant Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
MNR Industries LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1851350607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S MAIN ST",
            "address_2": "STE 104",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715374",
            "telephone_number": "301-921-7900",
            "fax_number": "301-921-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL AVENUE",
            "address_2": "CARROLL HOSPITAL CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575799",
            "telephone_number": "410-871-6700",
            "fax_number": "410-871-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDREY",
        "first_name": "CAROL",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.