MICHAEL CORNEILLE (NPI# 1154438133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154438133 |
Entity Type | Individual |
Full Name | MICHAEL CORNEILLE |
Credential | MD |
Practice Address |
9250 N 3rd Sreet Suite 3015 Phoenix AZ 85020-2425 |
Mailing Address |
7390 Barlite Blvd # 230 San Antonio TX 78224-1337 |
Practice Telephone | 6026333721 |
Practice Fax Number | 6029953795 |
Mailing Telephone | 6026333721 |
Mailing Fax Number | 6029953795 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2019-11-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
46604 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
9250 N 3RD SREET SUITE 3015 |
City | PHOENIX |
State | AZ |
Zip Code | 85020-2425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
Find all providers in zip 85020 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205095817 | Andrews C Ninan | Surgery | 2601e Roosevelt Street, Maricopa Medical Center, Phoenix, AZ 85008 | 2008-06-09 |
1437206562 | Nicole P Piscatelli | Surgery | 3141 N 48th St, Phoenix, AZ 85018-6564 | 2007-01-04 |
1972575504 | Alicia Mangram | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2006-02-07 |
1447729975 | Valley Associates Prs Pllc | Surgery | 10910 N Tatum Blvd Ste B100, Phoenix, AZ 85028-3080 | 2018-11-14 |
1114400314 | Kma Surgical Assist LLC | Surgery | 901 E Jefferson St, Phoenix, AZ 85034-2219 | 2018-09-13 |
1619200722 | District Medical Group, Inc | Surgery | 2525 E Roosevelt St, Surgery Clinic, Phoenix, AZ 85008-4948 | 2009-09-09 |
1831324383 | Scottsdale Acute Care Surgery, LLC | Surgery | 9250 N 3rd St, Suite 3000, Phoenix, AZ 85020-2437 | 2009-05-27 |
1447430491 | Francis Reginald Ali-osman | Surgery | 16601 N 40th St Ste 227, Phoenix, AZ 85032-3354 | 2007-11-07 |
1669590543 | Mark Steven Molitor Jr. | Surgery | 1920 E Cambridge Ave, Suite #201, Phoenix, AZ 85006-1459 | 2007-03-27 |
1407941602 | Michael D. Peck | Surgery | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2006-10-04 |
Find all providers in PHOENIX |
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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.