ROBERT R CORNWELL (NPI# 1568448025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568448025 |
| Entity Type | Individual |
| Full Name | ROBERT R CORNWELL |
| Credential | MD |
| Practice Address |
1900 Woodland Dr Manitowoc WI 54220-9662 |
| Mailing Address |
Po Box 2290 Manitowoc WI 54221-2290 |
| Practice Telephone | 9203206212 |
| Practice Fax Number | 9206845548 |
| Mailing Telephone | 9203202591 |
| Mailing Fax Number | 9203204155 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2012-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 28727 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BCBS | 1568448025 | 01 |
| WI | 207R00000X | 05 | |
| WI | RR MEDICARE | P00835713 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578067161 | Robert M Cornwell | Case Manager/Care Coordinator | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2018-03-20 |
| Street Address |
1900 WOODLAND DR |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-9662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790160729 | Ashley Micksch | Nurse Practitioner | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-20 |
| 1356724686 | Abbey Bubolz | Dietitian, Registered | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2015-07-06 |
| 1891198735 | Jennifer L. Weier | Nurse Practitioner | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2014-10-07 |
| 1215275409 | Ashley Elaine Holly | Dietitian, Registered | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2013-01-22 |
| 1841495058 | Jeremy Robert Anclam | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2007-06-18 |
| 1932217924 | James W Hoftiezer | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
| 1639287618 | Michael D Hoftiezer | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
| 1891803862 | Pradeep Giriyappa | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
| 1780792887 | William Alvarez | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-28 |
| 1073621199 | Mary A Govier | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386766368 | Mark Leonard Herring | Internal Medicine | 1355 Johnston Dr, Manitowoc, WI 54220-2131 | 2007-04-03 |
| 1184922320 | Mark L Herring M.d., S.c. | Internal Medicine | 1355 Johnston Dr, Manitowoc, WI 54220-2131 | 2011-03-12 |
| 1841495058 | Jeremy Robert Anclam | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2007-06-18 |
| 1851466759 | Mark J Capriolo | Internal Medicine | 601 Reed Ave, Manitowoc, WI 54220-2026 | 2006-11-24 |
| 1639287618 | Michael D Hoftiezer | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
| 1891803862 | Pradeep Giriyappa | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-29 |
| 1073621199 | Mary A Govier | Internal Medicine | 1900 Woodland Dr, Manitowoc, WI 54220-9662 | 2006-08-28 |
| 1952418063 | Richard W Theobald | Internal Medicine | 601 Reed Ave, Manitowoc, WI 54221-1270 | 2006-08-24 |
| 1689781874 | Rajesh Sharma | Internal Medicine | 601 Reed Ave, Manitowoc, WI 54221-1270 | 2006-08-24 |
| 1144337247 | Tresa A Teehan | Internal Medicine | 601 Reed Ave, Manitowoc, WI 54221-1270 | 2006-08-24 |
| Find all providers in MANITOWOC | ||||
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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.