SUSAN R. CORDES M.D. – NPI #1285668707
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

SUSAN CORDES is an otolaryngologist located in STOCKTON, CA. NPPES has assigned the NPI number 1285668707 to SUSAN CORDES on July 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name SUSAN R SLAKES. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 6 years ago on Jun 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN CORDES below.

NPI Profile for
SUSAN R. CORDES

NPI Number
1285668707
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN R. CORDES
Former Name: SUSAN R SLAKES
Credentials
M.D.
Primary location
10200 TRINITY PKWY STE 201
STOCKTON, CA 95219-7288
Phone: (209) 952-0483 Fax: (209) 478-5785
2 Other location(s):
801 S Ham Ln Ste O
Lodi, CA 95242-7502
Phone: (209) 952-0483
Fax: (209) 478-5785
550 W Eaton Ave Ste 548
Tracy, CA 95376-3422
Phone: (209) 952-0483
Fax: (209) 478-5785
Mailing address
1111 EXPOSITION BLVD BLDG 700
SACRAMENTO, CA 95815-4314
Phone: (916) 736-3399 Fax: (916) 736-3350
Sole Proprietor
No
Updated
Certification Date
Jun 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SUSAN CORDES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200167750
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)
IN 01043929A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SUSAN CORDES is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST HEALTH LODI MEMORIAL
      975 S FAIRMONT AVENUE
      LODI, CA 95240
    • ST JOSEPH'S MEDICAL CENTER OF STOCKTON
      1800 N CALIFORNIA ST
      STOCKTON, CA 95204

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