Collin Robert Cordery, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

DA10239 Issued in AZ

Practice address

15655 W Roosevelt St Ste 216
Goodyear, AZ 85338-9342

Phone

(623) 696-5817

Fax

(623) 321-8009

NPI assigned

Nov 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Arizona Hearcare Network, Inc

  • Audiologist-Hearing Aid Fitter
  • Glendale, AZ
  • NPI 1518947829
  NPD (past)

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1932613221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 W ROOSEVELT ST STE 216",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389342",
            "telephone_number": "623-696-5817",
            "fax_number": "623-321-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 W ROOSEVELT ST STE 216",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389342",
            "telephone_number": "623-696-5817",
            "fax_number": "623-321-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERY",
        "first_name": "COLLIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA10239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Cook
• Tony Coombe
• Cassidy Cooney, PT
• Lacey Cooper, PTA
• Copper Star Medical Supply
• James Cole Cornall
• Edgar D Cornejo, PHYSICIAN ASSISTANT
• Cornerstone Medical Center LLC
• Tirsah A Cortez, PHARMD
• Claudio Cosio, DMD

• Audiologist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Audiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.