CARL JOHN CORNELIUS JR. (NPI# 1578571527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578571527 |
| Entity Type | Individual |
| Full Name | CARL JOHN CORNELIUS JR. |
| Credential | MD |
| Practice Address |
1116 10th Avenue Sidney NE 69162 |
| Practice Telephone | 3082545575 |
| Practice Fax Number | 3082543831 |
| Mailing Telephone | 3082545575 |
| Mailing Fax Number | 3082543831 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9264 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
1116 10TH AVENUE |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1336529247 | Sara M Sholar | Family Medicine | 1000 Pole Creek Xing, Sidney, NE 69162 | 2015-06-05 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1467488726 | Steven A Rolls | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162 | 2006-06-25 |
| 1376504357 | Stephanie L Green | Nurse Practitioner | 1000 Pole Creek Xing Ste 1, Sidney, NE 69162 | 2006-03-30 |
| Find all providers in zip 69162 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801296843 | Stephen S. Benham,mdpc | Family Medicine | 41a Delaware Ave, Sidney, NY 13838-1336 | 2014-08-27 |
| 1942551106 | Jerome Andrew Kessler | Family Medicine | 214 14th Ave Sw Ste 104, Sidney, MT 59270-3521 | 2012-09-27 |
| 1780965848 | Timothy G. Baumann | Family Medicine | 660 Westover Dr, Sidney, OH 45365-1958 | 2011-09-02 |
| 1720239064 | Rakesh Nanda | Family Medicine | 661 N Vandemark Rd, Sidney, OH 45365-3552 | 2008-10-06 |
| 1285717116 | Carlos F Trevino | Family Medicine | 181 12th Ave Sw, Sidney, MT 59270-3613 | 2006-10-23 |
| 1164523882 | Sidney Medical Group Inc | Family Medicine | 322 Second Avenue, Sidney, OH 45365 | 2006-09-26 |
| 1992800601 | Robert J Miller | Family Medicine | 322 Second Ave, Sidney, OH 45365 | 2006-09-14 |
| 1477503928 | Frederick R Simpson | Family Medicine | 1103 Fairington Dr Ste 100, Sidney, OH 45365-8130 | 2006-05-12 |
| 1821064635 | Rebecca L Allard | Family Medicine | 1000 Pole Creek Xing Ste 1, Sidney, NE 69162-2902 | 2006-02-23 |
| 1457353963 | Stephen Warren Blatchly | Family Medicine | 823 Michigan St Bldg B, Sidney, OH 45365-2685 | 2005-08-15 |
| Find all providers in SIDNEY | ||||
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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.