{"npi":"1891774022","type":"NPI-1","status":"active","name":{"display":"Gretchen Cordero MD","other":[],"first":"GRETCHEN","last":"CORDERO","middle":"G.","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"OH","license":"35079191"}]},"addresses":[{"purpose":"LOCATION","street_1":"395 W 12TH AVE","city":"COLUMBUS","state":"OH","postal_code":"432101267","country_code":"US","phone":"6142938315","fax":"6142936935"},{"purpose":"MAILING","street_1":"700 ACKERMAN RD STE 570","city":"COLUMBUS","state":"OH","postal_code":"432021579","country_code":"US","phone":"6142938315"}],"license":{"state":"OH","number":"35079191"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2272973","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040719000079","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"OH","pac_id":"0547249039"},{"enrlmt_id":"I20251009000154","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"CA","pac_id":"0547249039"},{"enrlmt_id":"I20251027002231","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"IL","pac_id":"0547249039"}]},"enumeration_date":"2006-01-16","last_updated":"2026-04-29","_meta":{"source":"NPPES","snapshot_date":"2026-04-29","doc_url":"https://findmynpi.com/api"}}