DR. JAMES NELSON CORNWELL (NPI# 1669884987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669884987 |
| Entity Type | Individual |
| Full Name | DR. JAMES NELSON CORNWELL |
| Credential | D.O. |
| Practice Address |
514 Plaza Ct Sand Springs OK 74063 |
| Mailing Address |
514 Plaza Ct Sand Springs OK 74063-7915 |
| Practice Telephone | 9182155100 |
| Practice Fax Number | 9182155105 |
| Mailing Telephone | 9182155100 |
| Mailing Fax Number | 9182155105 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2019-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6310 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200769410A | 05 | |
| OK | MEDICARE | 675798 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1205 W Main St, Collinsville, OK 740213114 | 9189380040 | 9189380056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548250830 | James Roy Cornwell | Family Medicine | 110 R T Stanley Sr Place, Lyons, GA 30436-5623 | 2005-10-27 |
| 1366528663 | James David Cornwell | Optometrist | 4420 Meridian St, Bellingham, WA 98226-8087 | 2006-10-29 |
| 1659389658 | James T Cornwell | Surgery | 900 I St, La Porte, IN 46350-5533 | 2006-08-04 |
| 1023061546 | James R Cornwell | Radiology | 9825 Kenwood Rd, Suite 105, Blue Ash, OH 45242-6251 | 2006-05-18 |
| Street Address |
514 PLAZA CT |
| City | SAND SPRINGS |
| State | OK |
| Zip Code | 74063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965556 | Osu Center for Health Sciences | Clinic/Center | 514 Plaza Ct, Sand Springs, OK 74063-7915 | 2019-10-30 |
| 1154845501 | Osumc Professional Services LLC | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063-7915 | 2017-07-27 |
| 1124411749 | Mallory Dayle White | Nurse Practitioner | 514 Plaza Ct, Sand Springs, OK 74063-7915 | 2015-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1609474758 | Sand Springs Dentistry and Braces | Clinic/Center | 152 W. Alexander Blvd, Ste E, Sand Springs, OK 74063 | 2020-10-12 |
| 1689189987 | Constance Rebecca Dimond | Pharmacist | 251 South Hwy 97, Sand Springs, OK 74063 | 2017-12-08 |
| 1104272608 | Rebecca Schulz | Midwife | 20361 W 51st Street, Sand Springs, OK 74063 | 2016-05-13 |
| 1801295266 | Tifhanie Edison | Social Worker | 118 Imperial Blvd, Sandsprings, OK 74063 | 2014-08-21 |
| 1518372770 | Spring Innovations Ok PC | Dentist | 530 Plaza Court, Sand Springs, OK 74063 | 2014-06-26 |
| 1366874190 | Tim B. Williamson | Acupuncturist | 608 W 41st St, Sand Springs, OK 74063 | 2013-08-03 |
| 1205153483 | Excel Therapy Specialists, LLC | Physical Therapist | 422 Plaza Ct., Ste. A, Sand Springs, OK 74063 | 2010-04-27 |
| 1548592512 | Shannon Kathleen Marie Christmas | Counselor | 401 E Broadway Ct, Suite E, Sand Springs, OK 74063 | 2010-02-02 |
| 1073841144 | Stephanie Sims | Specialist/Technologist, Other | 3812 S Bermuda Ave, Sand Springs, OK 74063 | 2009-11-30 |
| Find all providers in zip 74063 | ||||
| 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 |
|---|---|---|---|---|
| 1295964823 | Kristina Price | Family Medicine | 302 W 2nd St Ste 600, Sand Springs, OK 74063-6709 | 2009-07-02 |
| 1497922496 | Sand Springs Medical Associates | Family Medicine | 401 East Broadway, Suite A, Sand Springs, OK 74063 | 2008-05-09 |
| 1265590889 | Jahangir Khan | Family Medicine | 409 E Broadway St, Sand Springs, OK 74063-7912 | 2006-12-05 |
| 1487685020 | Terence Michael Williams | Family Medicine | 20 E 34th St, Sand Springs, OK 74063-4001 | 2006-07-05 |
| 1982699096 | Jack Howard Brown Jr. | Family Medicine | 200 N Main St Ste D, Sand Springs, OK 74063-7650 | 2005-09-14 |
| 1891172847 | Annie Alex | Family Medicine | 402 W Morrow Rd, Sand Springs, OK 74063 | 2015-04-29 |
| 1962701573 | Murray Crow Do PC | Family Medicine | 401 E Broadway Ct, Ste #c, Sand Springs, OK 74063-7939 | 2011-03-22 |
| 1679701361 | Ian Dow Bushyhead | Family Medicine | 102 S Main St, Sand Springs, OK 74063 | 2009-07-01 |
| 1689606964 | Robert Lee Boyles | Family Medicine | 20 E 34th St, Sand Springs, OK 74063-4001 | 2006-07-07 |
| 1093752016 | David E Wiegman | Family Medicine | 102 S Main Street, Sand Springs, OK 74063-8507 | 2006-05-31 |
| Find all providers in SAND SPRINGS | ||||
| City | SAND SPRINGS |
| Zip Code | 74063 |
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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.