Organization Active NPI

Ronald a Codario, M.D.P.C.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1972723757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MC030171C Issued in PA
Legal business name
RONALD A CODARIO, M.D.P.C.
Practice address
2511 S Broad St
Philadelphia, PA 19148-4309
Phone
(214) 467-3883
Fax
(215) 467-2911
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald Anthony Codario Sr., M.D.
Title
President
Phone
(215) 467-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MC030171C PA Primary

Addresses

Primary practice location

2511 S Broad St
Philadelphia, PA 19148-4309

Mailing address

2511 S Broad St
Philadelphia, PA 19148-4309
Phone (215) 467-3883

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972723757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "215-467-3883",
            "fax_number": "215-467-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484309",
            "telephone_number": "214-467-3883",
            "fax_number": "215-467-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A CODARIO, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CODARIO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-467-3883",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MC030171C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.