Physician Compare National (NPI:1407065857)

HEALTHCARE PROVIDER: RICHARD ERIC PARK CORDES PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1407065857
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769539386
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090416000252
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CORDES
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	EP
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PHYSICAL MEDICINE AND REHABILITATION
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PHYSICAL MEDICINE AND REHABILITATION
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	43 PEARL ST W
	Group Practice or individual's line 1 address
Line 2 Street Address	SIDNEY HOSPITAL
	Group Practice or individual's line 2 address
City	SIDNEY
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	138381330
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y