Nicolas M. Cordoba
MD, MBA | Pediatrics | Male
Nicolas M. Cordoba, MD, MBA is a Salt Lake City, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Nicolas M. Cordoba is
81 N Mario Capecchi Dr, Salt Lake City, Utah - 84113-1125. He can be contacted on phone at
801-662-5701.
Nicolas M. Cordoba is a sole proprietor of his business.
NPI number (Unique professional ID) for Nicolas M. Cordoba is
1700132628 which was assigned by NPPES on 29 Jul, 2012 and it was last updated on 20 Apr, 2022.
Nicolas M. Cordoba license number is
11883770-1205 for Pediatrics (208000000X) in Utah.
Nicolas M. Cordoba is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nicolas M. Cordoba basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nicolas M. Cordoba |
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| Credential : | MD, MBA |
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| Gender : | Male |
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Business Address:
Nicolas M. Cordoba address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 81 N Mario Capecchi Dr
Salt Lake City, UT, 84113-1125
United States |
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| Phone Number : | 801-662-5701 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700132628 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Jul, 2012 |
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| Last Updated On : | 20 Apr, 2022 |
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Medicare Participation:
Nicolas M. Cordoba participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4486913696 |
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| Medicare Enrollment ID : | I20180116001869 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2011 |
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| Accepts Medicare? | Yes. Nicolas M. Cordoba accepts medicare insurance. |
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Group Practice Association:
Nicolas M. Cordoba is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Nicolas M. Cordoba is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Md @ Home Illinois, Sc | 7810167830 | 25 | 2003 W Fulton St
Suite 303
Chicago, IL - 606122345
Ph: 3122432223 | Yes |
| Md @ Home Illinois, Sc | 7810167830 | 25 | 802 E 9th St
Housecall Physicians Of Illinois
Mishawaka, IN - 465442314
Ph: 3122432223 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicolas M. Cordoba are as mentioned. Primary taxonomy code for Nicolas M. Cordoba, MD, MBA is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 11883770-1205 | UT |
| 207R00000X | Internal Medicine | No | 036144791 | IL |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
836 W WELLINGTON AVE,
CHICAGO, IL, 60657-5147
United States | CHICAGO, IL | 773-975-1600 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 81 N Mario Capecchi Dr
Salt Lake City, UT, 84113-1125
United States |
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| Phone Number : | 801-662-5701 |
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Business Location:
Patients can refer following map for directions to
Nicolas M. Cordoba practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.