ADAM JOSEPH CORNEJO (NPI# 1093060733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093060733 |
| Entity Type | Individual |
| Full Name | ADAM JOSEPH CORNEJO |
| Credential | DPM |
| Practice Address |
1804 Carlisle Blvd Ne Albuquerque NM 87110 |
| Mailing Address |
2900 Vista Del Rey Ne Unit 8a Albuquerque NM 87112-2195 |
| Practice Telephone | 5055961852 |
| Mailing Telephone | 5055961852 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD410 | NM | Podiatric Medicine & Surgery Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 Eubank Blvd Se Bldg 831832, Albuquerque, NM 871233453 | 5058444237 |
| Street Address |
1804 CARLISLE BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043226780 | Linda J Butros | Pediatrics | 1804 Carlisle Blvd Ne, Albuquerque, NM 87110 | 2006-08-01 |
| 1205013950 | Daniella Rodarte | Massage Therapist | 1804 Carlisle Blvd Ne, Albuquerque, NM 87110-4906 | 2008-01-24 |
| 1306930797 | Andru Ziwasimon Zeller | Family Medicine | 1804 Carlisle Blvd Ne, Albuquerque, NM 87110-4906 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536786 | Daniel L. Peterson | Podiatrist | 4401 Coors Blvd Sw Ste A, Albuquerque, NM 87121-6460 | 2015-05-06 |
| 1699060202 | Juan Tabo Foot Health Center, PC | Podiatrist | 1925 Juan Tabo Blvd Ne, Suite D, Albuquerque, NM 87112-3366 | 2011-06-10 |
| 1891954657 | Theodore L Varoz Dpm | Podiatrist | 1204 Candelaria Rd Nw, Albuquerque, NM 87107-2766 | 2008-06-06 |
| 1922219203 | Albuquerque Associated Podiatrists | Podiatrist | 121 Sycamore St Ne, Albuquerque, NM 87106-4622 | 2007-05-25 |
| 1528128352 | Faith Carin Shapiro | Podiatrist | 1903 Wyoming Blvd Ne, Suite C, Albuquerque, NM 87112-2821 | 2006-12-11 |
| 1023124203 | Andy Ngoc Ho | Podiatrist | 6727 Academy Rd Ne Ste C, Albuquerque, NM 87109-3369 | 2006-08-21 |
| 1295746857 | Gary D Prant | Podiatrist | 7700 Menaul Blvd Ne Ste D, Albuquerque, NM 87110-4639 | 2006-08-10 |
| 1144230061 | Nathan D Ivey | Podiatrist | 4343 Pan American Fwy Ne Ste 234, Albuquerque, NM 87107 | 2006-08-09 |
| 1205845823 | Benjamin J Hockin | Podiatrist | 8019 Lava Reach Ave Nw Ste A, Albuquerque, NM 87120-6531 | 2006-08-05 |
| 1497769947 | Richard A Weinstein I | Podiatrist | 1925-d Juan Tabo Ne, Albuquerque, NM 87112 | 2006-07-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on ADAM JOSEPH CORNEJO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.