JONATHAN PHILIP CORNELIUS (NPI# 1285843896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285843896 |
| Entity Type | Individual |
| Full Name | JONATHAN PHILIP CORNELIUS |
| Credential | MD |
| Practice Address |
100 Physicians Way Suite 110 Lebanon TN 37090-8102 |
| Mailing Address |
Po Box 370 Fortson GA 31808-0370 |
| Practice Telephone | 6155476700 |
| Practice Fax Number | 6155476707 |
| Mailing Fax Number | 7064943008 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 44463 | TN | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
44463 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1513462 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 353 New Shackle Island Rd Ste 141c, Hendersonville, TN 370752366 | 6158267171 | |
| 394 Harding Pl Ste 200, Nashville, TN 372113980 | 6158344482 | |
| 111 Highway 70 E Ste 103, Dickson, TN 370552080 | 6157400260 | |
| 2400 Patterson St Ste 300, Nashville, TN 372031558 | 6153426300 | |
| 394 Harding Pl Ste 101, Nashville, TN 372113980 | 6158329966 | |
| 394 Harding Pl Ste 100, Nashville, TN 372113980 | 6153323600 | |
| 1411 W Baddour Pkwy, Lebanon, TN 370872513 | 6154448262 | |
| 3901 Central Pike Ste 152, Hermitage, TN 370763420 | 6153917200 | |
| 5655 Frist Blvd, Hermitage, TN 370762053 | 6153164900 | |
| 200 Stonecrest Blvd, Smyrna, TN 371676810 | 6157682000 | |
| 300 Stonecrest Blvd Ste 200, Smyrna, TN 371676800 | 6158601580 | |
| 5002 Crossing Circle, Ste: 110, Mount Juliet, TN 37122 | 6155539100 |
| Street Address |
100 PHYSICIANS WAY SUITE 110 |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1982059317 | Lydia Moore | Nurse Practitioner | 100 Physicians Way, Suite 300, Lebanon, TN 37090-8102 | 2016-05-04 |
| 1962809129 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 120, Lebanon, TN 37090-8102 | 2014-12-03 |
| 1043615644 | Kristina Moore | Physician Assistant | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2014-10-27 |
| 1386073674 | Stacey Atkins | Nurse Practitioner | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2013-11-06 |
| 1437584299 | Premier Orthopaedics & Sports Medicine, Plc | Durable Medical Equipment & Medical Supplies | 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | 2013-09-11 |
| 1538407127 | Casey Paige Lewis | Pharmacist | 100 Physicians Way, Lebanon, TN 37090-8102 | 2013-01-16 |
| 1134471725 | Uap Lebanon Endo, LLC | Nurse Anesthetist, Certified Registered | 100 Physicians Way, Ste 340, Lebanon, TN 37090-8102 | 2012-10-08 |
| 1467737999 | Janet Daily | Nurse Practitioner | 100 Physicians Way, Suite 330, Lebanon, TN 37090-8102 | 2011-10-16 |
| 1023327814 | Kristy M Blaney | Registered Nurse | 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 | 2010-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| 1801939798 | Prospect, Inc. | In Home Supportive Care | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2007-02-14 |
| 1093262743 | Prospect, Incorporated | Day Training, Developmentally Disabled Services | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2016-09-09 |
| Find all providers in zip 37090 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1518029388 | Regional Orthopedic Associates, P.C. | Orthopaedic Surgery | 410 Cumberland Street, Lebanon, PA 17042-1704 | 2006-12-15 |
| 1417900598 | William C. Robertson Jr. | Orthopaedic Surgery | 55 Twin Oaks Ave, Suite D-5, Lebanon, OR 97355-2864 | 2006-05-18 |
| 1184683179 | Petty Orthopaedics PC | Orthopaedic Surgery | 1616 W. Main St., Suite 300, Lebanon, TN 37087 | 2006-03-20 |
| 1861460958 | Terrance C Devlin | Orthopaedic Surgery | 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 | 2006-03-14 |
| 1851367015 | Lance O Yarus | Orthopaedic Surgery | 410-12 Cumberland St, Lebanon, PA 17042-5314 | 2006-02-27 |
| 1952388712 | Leonard M. Rudolf | Orthopaedic Surgery | 17 Alice Peck Day Dr Unit C, Lebanon, NH 03766-2684 | 2005-12-22 |
| 1487639415 | John E Garber | Orthopaedic Surgery | 2705 N Lebanon St Ste 220, Lebanon, IN 46052-8622 | 2005-12-13 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1457998379 | Specialty Orthopedic Group Tennessee | Orthopaedic Surgery | 365 S Hartmann Dr Ste 106, Lebanon, TN 37087-4788 | 2019-12-10 |
| Find all providers in LEBANON | ||||
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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.