DR. CRYSTAL STARDUST CORDELL (NPI# 1861712143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861712143 |
Entity Type | Individual |
Full Name | DR. CRYSTAL STARDUST CORDELL |
Other Name | DR. CRYSTAL STARDUST HARRIS |
Credential | M.D. |
Practice Address |
835 Hospital Rd Indiana PA 15701-3629 |
Mailing Address |
1085 Hartman Dr Indiana PA 15701-2437 |
Practice Telephone | 2514010035 |
Mailing Telephone | (251) 401-0035 |
Enumeration Date | 2010-06-09 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD460990 | PA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
6565 Fannin St, M227, Houston, TX 770302703 | 7134411296 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417407396 | Crystal D. Cordell | Pharmacist | 1045 S Saint Louis St, Batesville, AR 72501-7224 | 2016-10-04 |
Street Address |
835 HOSPITAL RD |
City | INDIANA |
State | PA |
Zip Code | 15701-3629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356334510 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Rd, Indiana, PA 15701-3629 | 2005-08-23 |
1598386013 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Indiana, PA 15701-3629 | 2020-05-06 |
1811529217 | Julia Bosco | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2020-02-04 |
1174180590 | Taylor Marie Pohl | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-05-21 |
1477110088 | Heather Ann Marsh | Speech-Language Pathologist | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-05-20 |
1679034284 | Brittany D'nel Lindahl | Nurse Practitioner | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-03-27 |
1982162020 | Angela George | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-03-07 |
1629535851 | Marissa Romanish | Pharmacist | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-02-24 |
1720555972 | Alana M Rizzo | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-10-25 |
1467928820 | Julianne Diana Knezovich | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
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Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538131644 | Steven Patrick Griffin | Pathology | Hospital Road, Indiana Regional Medical Center, Indiana, PA 15701 | 2006-02-02 |
1043347297 | S Wilson Diagnostic Pathology LLC | Pathology | 835 Hospital Rd, Indiana, PA 15701-3629 | 2007-02-27 |
1285786558 | Seshu Mahidhara | Pathology | 835 Hospital Rd, Indiana, PA 15701-3629 | 2007-01-17 |
1750454054 | Steven H Wilson | Pathology | 835 Hospital Rd, Indiana, PA 15701-3629 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740889690 | Alisa Rene Nobee | Pathology | 433 Seneca St, Essington, PA 19029-1608 | 2020-10-21 |
1861049637 | Partners In Specialty Pathology PC | Pathology | 2301 Harrisburg Pike Ste 201, Lancaster, PA 17601-2415 | 2019-08-26 |
1427619790 | Madeline Reganis | Pathology | 117 S. 11th Street, 204 Pavilion, Philadelphia, PA 19107-4949 | 2019-06-26 |
1750944526 | Silverpath, Inc. | Pathology | 512 E. Township Line Road, Suite 135, Tower 4, Blue Bell, PA 19422-2700 | 2019-04-17 |
1396224838 | Jacob Smith | Pathology | A711 Scaife Hall 3550 Terrace Street, Pittsburgh, PA 15261-0001 | 2018-08-07 |
1588142889 | Daniel Francis Marker | Pathology | 3550 Terrace Street A711 Scaife Hall Pathology Office, Pittsburgh, PA 15262-0001 | 2018-07-30 |
1043796048 | Zhimin Yuan | Pathology | 125 S 11th St Rm 204, Philadelphia, PA 19107-4949 | 2018-07-13 |
1316423379 | John Michael Skaugen | Pathology | 3550 Terrace St # A615, Pittsburgh, PA 15213-2500 | 2018-07-12 |
1497249692 | Jalil Nasibli | Pathology | 5435 Claybourne St Apt 806, Pittsburgh, PA 15232-1639 | 2018-06-20 |
1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.