Fredy Cordova (NPI# 1548464993, PAC ID# 0345313524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548464993 |
| PAC ID by PECOS | 0345313524 |
| Professional Enrollment ID | I20170216000714 |
| Full Name | Fredy Cordova |
| Organization Legal Name | MAINLINE HEALTH SYSTEMS INC |
| Address |
535 Jordan Dr Monticello AR 71655-5714 |
| Phone Number | 8703676246 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193785590 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040051 | DREW MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 535 Jordan Dr, Monticello, AR 71655-5714 | 8703676246 | MAINLINE HEALTH SYSTEMS INC |
| Organization Legal Name | MAINLINE HEALTH SYSTEMS INC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendal L Noble | Nurse Practitioner | Mainline Health Systems Inc | 110 N Drew St, Star City, AR 71667-5704 |
| Myra Flemister | Nurse Practitioner | Mainline Health Systems Inc | 233 N Main St, Portland, AR 71663-9230 |
| Leah Williams | Nurse Practitioner | Mainline Health Systems Inc | 310 Ashley St, Star City, AR 71667-4814 |
| April B Glasscock | Nurse Practitioner | Mainline Health Systems Inc | 535 Jordan Dr, Monticello, AR 71655-5714 |
| Toni D Stephens | Nurse Practitioner | Mainline Health Systems Inc | 579 Beouff St, Eudora, AR 71640 |
| Dana S Phillips | Nurse Practitioner | Mainline Health Systems Inc | 250 University Dr, Monticello, AR 71655-8891 |
| Kimberly K Golden | Family Medicine | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
| Amanda H Kelley | Clinical Social Worker | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
| Lisa D Kilcrease | Clinical Social Worker | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
| Rebekah Ayecock | Nurse Practitioner | Mainline Health Systems Inc | 300 S School St, Dermott, AR 71638-2127 |
| Street Address |
535 JORDAN DR |
| City | MONTICELLO |
| State | AR |
| Zip | 71655-5714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April B Glasscock | Nurse Practitioner | Mainline Health Systems Inc | 535 Jordan Dr, Monticello, AR 71655-5714 |
| Jesse Bone | Nurse Practitioner | Mainline Health Systems Inc | 535 Jordan Dr, Monticello, AR 71655-5714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan D Collins | Chiropractic | Collins Chiropractic Center LLC | 106 N Hyatt St, Monticello, AR 71655-4022 |
| Tyler Ryan Collins | Chiropractic | Collins Chiropractic Center LLC | 106 N Hyatt St, Monticello, AR 71655-4022 |
| Ricky Ferguson | Optometry | 408 W Mccloy St, Monticello, AR 71655-4325 | |
| Noadia A Worku | Internal Medicine | 201 N Slemons St, Monticello, AR 71655-4326 | |
| Scott C Claycomb | Ophthalmology | 301 Hwy 425 S, Monticello, AR 71655-4611 | |
| James L Price Jr. | Optometry | Seark Eyecare LLC | 301 Hwy 425 S, Monticello, AR 71655-4611 |
| Barrett L Brown | Optometry | Seark Eyecare LLC | 301 Hwy 425 S, Monticello, AR 71655-4611 |
| Mark W Bryant | Chiropractic | 232 S Main St, Monticello, AR 71655-4730 | |
| Wendell Bryant | Chiropractic | 232 S Main St, Monticello, AR 71655-4730 | |
| Dustin C Eubanks | Chiropractic | 604 W Bolling St, Suite A, Monticello, AR 71655-5410 | |
| Find all physicians in zip 71655 | |||
| City | MONTICELLO |
| Zip Code | 71655 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONTICELLO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Fredy Cordova.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.