DR. ROY BRADFORD CORNELL (NPI# 1477552354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477552354 |
Entity Type | Individual |
Full Name | DR. ROY BRADFORD CORNELL |
Credential | M.D. |
Practice Address |
2801 New Hartford Rd Owensboro KY 42303-1320 |
Practice Telephone | 2706833720 |
Practice Fax Number | 2706867331 |
Mailing Telephone | 2706833720 |
Mailing Fax Number | 2706867331 |
Enumeration Date | 2005-07-21 |
Last Update Date | 2008-01-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 01047053A | IN | Allopathic & Osteopathic Physicians |
Y | 208600000X | Surgery | 30382 | KY | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
01047053A | IN | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
30382 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64303829 | 05 | |
IN | MOLINA | 200139790 | 01 |
DART | 611059472 | 01 | |
IN | CARESOURCE | 611059472110 | 01 |
KY | ANTHEM | 000000048408 | 01 |
IN | 200139790 | 05 | |
UMWA | 611059472 | 01 | |
RAILROAD MEDICARE | 020037451 | 01 |
Street Address |
2801 NEW HARTFORD RD |
City | OWENSBORO |
State | KY |
Zip Code | 42303-1320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336148386 | C. William Jansing | Surgery | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2005-07-20 |
1154937159 | Sarah Ringkor | Specialist/Technologist, Other | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2020-09-16 |
1982104717 | Brittney G. Quisenberry | Specialist/Technologist, Other | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2018-02-19 |
1538619481 | Meredith L Pinto | Physician Assistant | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2016-10-04 |
1649622911 | Abbie H Daniel | Registered Nurse | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2016-07-11 |
1114379435 | Robert A Payne | Registered Nurse | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2016-07-11 |
1205281722 | Tabitha Jo Day | Physician Assistant | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2016-05-03 |
1568835262 | Melanie L Rininger | Specialist/Technologist, Other | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2015-11-04 |
1881062289 | Nicole M Allen | Nurse Practitioner | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2015-09-02 |
1346582194 | Owensboro Health Medical Group, Inc | Specialist/Technologist, Other | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2013-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
Find all providers in zip 42303 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 |
---|---|---|---|---|
1467763227 | Matthew Allen Strode | Surgery | 136 State Route 1554, Owensboro, KY 42301-9209 | 2010-06-27 |
1992950208 | William George Hayden | Surgery | 4830 Towne Square Ct, Owensboro, KY 42301-7436 | 2008-12-01 |
1336148386 | C. William Jansing | Surgery | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2005-07-20 |
1093331274 | Owensboro Surgical Pllc | Surgery | 2816 Veach Rd Ste 403, Owensboro, KY 42303-6298 | 2020-06-23 |
1265856181 | Owensboro Health Medical Group, Inc | Surgery | 1325 Triplett St # B, Owensboro, KY 42303-3163 | 2014-02-12 |
1578838611 | Jessica L Raque | Surgery | 2801 New Hartford Rd, Owensboro, KY 42303 | 2012-03-21 |
1790002079 | Jennifer A Martin Md Pllc | Surgery | 2315 Mayfair Dr, Suite 9, Owensboro, KY 42301-4557 | 2010-04-27 |
1437387396 | Michael Ray West Jr. | Surgery | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2009-06-30 |
1992949838 | Ravi K. Alapati | Surgery | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2009-04-22 |
1295977924 | Matthew Charles Golden | Surgery | 2801 New Hartford Rd, Owensboro, KY 42303-1320 | 2009-03-26 |
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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.