MICHAEL CORNEILLE


Address: 9250 N 3rd Sreet, Suite 3015, Phoenix, AZ 85020-2425
Phone: 6026333721

MICHAEL CORNEILLE (NPI# 1154438133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
46604 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 9250 N 3RD SREET
SUITE 3015
City PHOENIX
State AZ
Zip Code 85020-2425

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Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PHOENIX
Zip Code 85020

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Dataset Information

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.

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