DR. ROBERT L CORDER MD NPI 1770508327

NPI Information

NPI: 1770508327
Provider Name: DR. ROBERT L CORDER, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
902 EDMOND ST STE 203
SAINT JOSEPH, MO
ZIP 64501
Phone: (816) 364-4300
Get Directions

DR. Robert L Corder, MD is an addiction medicine family medicine in Saint Joseph, MO with 51 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Robert L Corder, MD NPI is 1770508327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1973

The provider's business location address is:

902 EDMOND ST STE 203
SAINT JOSEPH, MO
ZIP 64501-762
Phone: (816) 364-4300

The NPI 1770508327 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 1/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		R6429	MISSOURI	No
2	207QA0401X	Family Medicine	Addiction Medicine	R6429	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4570847	OTHER		AETNA
2	P00036215	OTHER		RAILROAD MEDICARE
3	04119010	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD
4	200946119	MEDICAID	MISSOURI
5	44054528964506V014	OTHER		TRICARE/CHAMPUS
6	10001223901	OTHER		COMMUNITY HEALTH PLAN
7	465446	OTHER	MISSOURI	CHILDRENS MERCY FAMILY HEALTH
8	602260	OTHER		FIRSTGUARD
9	206202	OTHER		HEALTHLINK
10	100002320B	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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