LELAND R CORNELIUS (NPI# 1760868590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760868590 |
| Entity Type | Individual |
| Full Name | LELAND R CORNELIUS |
| Credential | M.D. |
| Practice Address |
17 1st St E Stanton TN 38069-4426 |
| Mailing Address |
Po Box 720 Bolivar TN 38008-0720 |
| Practice Telephone | 7315482232 |
| Mailing Telephone | 7316593125 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9514 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
17 1ST ST E |
| City | STANTON |
| State | TN |
| Zip Code | 38069-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356531610 | Hardeman County Community Health Center | Clinic/Center | 17 1st St E, Stanton, TN 38069-4426 | 2007-08-01 |
| 1730585878 | Melanie Gilliland | Nurse Practitioner | 17 1st St E, Stanton, TN 38069-4426 | 2014-11-18 |
| 1881020295 | Justin K Kwon | Physician Assistant | 17 1st St E, Stanton, TN 38069-4426 | 2013-09-17 |
| 1588992663 | Dr. C. R. White and Associates Dental Center,inc. | Dental Assistant | 17 1st St E, Stanton, TN 38069-4426 | 2009-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457304396 | Ejikeme Uchenna Nwokolo | Internal Medicine | 17 First Street East, Stanton, TN 38069 | 2006-05-19 |
| 1871838466 | The Heavenly Oak Adult Day Care | Custodial Care Facility | 8 Oak Street, Stanton, TN 38069-3417 | 2012-12-07 |
| 1174121735 | Takindra Worles | Social Worker | 164 Summit Rd, Stanton, TN 38069-4646 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932570 | Sterling Health Solutions, Inc | Clinic/Center | 642 Rose Way, Stanton, KY 40380 | 2020-11-03 |
| 1306446109 | Andrea Huizar | Behavioral Analyst | 10236 Fern Ave, Stanton, CA 90680-1711 | 2020-10-29 |
| 1174121735 | Takindra Worles | Social Worker | 164 Summit Rd, Stanton, TN 38069-4646 | 2020-10-15 |
| 1881292514 | Miriam Herrera Salgado | Dentist | 10232 Macduff St, Stanton, CA 90680-1822 | 2020-10-14 |
| 1003422676 | Amber M Ryan | Nurse Practitioner | 2799 N Cedar Lake Rd, Stanton, MI 48888-9417 | 2020-09-18 |
| 1497365126 | Brenda Patricia Ramos Zavala | Behavior Technician | 12235 Beach Blvd Ste 110, Stanton, CA 90680-3943 | 2020-08-06 |
| 1609491919 | Mary Nguyen | Student in an Organized Health Care Education/Training Program | 8350 Palais Rd, Stanton, CA 90680-1717 | 2020-06-11 |
| 1316569189 | Sri Sai Krish Institute | Nursing Care | 12362 Beach Blvd Ste 14, Stanton, CA 90680-3957 | 2020-05-14 |
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1497375448 | Sheridan Home Care | In Home Supportive Care | 129 E. Main St, Stanton, MI 48888-9998 | 2020-04-20 |
| Find all providers in STANTON | ||||
| 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 |
|---|---|---|---|---|
| 1851767370 | Mid-michigan District Health Department | Family Medicine | 615 N State St Ste 2, Stanton, MI 48888-9702 | 2015-08-19 |
| 1316247935 | Jenniffer Marie Efaw | Family Medicine | 615 N State St Ste 1, Stanton, MI 48888 | 2010-10-29 |
| 1073753109 | Francis F Whitlow | Family Medicine | 62 Clifton Dr, Stanton, MI 48888-8995 | 2009-03-02 |
| 1679793376 | Ismael Mena | Family Medicine | 7499 Cerritos Ave, Stanton, CA 90680-2008 | 2007-04-26 |
| 1942386248 | Melencio Francisco Juan | Family Medicine | 600 East Interstate 20, Suite D 101, Stanton, TX 79782 | 2006-10-29 |
| 1174622468 | Sheridan Community Hospital | Family Medicine | 620 W Main St # 818, Stanton, MI 48888-9239 | 2006-09-22 |
| 1891893061 | James Angelo Sharkoff | Family Medicine | 8045 Cerritos Ave, Stanton, CA 90680-2436 | 2006-09-20 |
| 1629173364 | Hao Kim Cao | Family Medicine | 12116 Beach Blvd, Stanton, CA 90680-3704 | 2006-09-14 |
| 1295766947 | Us Medical Center | Family Medicine | 12679 Beach Blvd, Stanton, CA 90680-4007 | 2006-07-05 |
| 1295704203 | Willis Fayne Gaffney | Family Medicine | 2939 S Sheridan Rd, Stanton, MI 48888-9285 | 2006-03-14 |
| Find all providers in STANTON | ||||
Please comment or provide details below to improve the information on LELAND R CORNELIUS.
| 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.