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DR. TRACY LEIGH CORDRAY M.D. NPI 1346432614


NPI Information

NPI: 1346432614
Provider Name: DR. TRACY LEIGH CORDRAY, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2093 HENRY TECKLENBURG DR STE 340
CHARLESTON, SC
ZIP 29414
Phone: (843) 718-2334
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DR. Tracy Leigh Cordray, M.D. is a plastic and reconstructive surgery surgery in Charleston, SC with 27 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Tracy Leigh Cordray, M.D. NPI is 1346432614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

2093 HENRY TECKLENBURG DR STE 340
CHARLESTON, SC
ZIP 29414-741
Phone: (843) 718-2334
Fax: (843) 277-2067

The NPI 1346432614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue (HCPCS:11045)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 8/10/2007 and was last updated on 10/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryA79618CALIFORNIANo
22086S0122XSurgeryPlastic and Reconstructive Surgery22185SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1813653106OTHERSOUTH CAROLINATAX ID
21346432614OTHERSOUTH CAROLINAINDIVIDUAL NPI
3SC5037G677OTHERSOUTH CAROLINAMEDICARE PTAN
430236309MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.