Ronald W Cornwell (NPI# 1215990981, PAC ID# 2365488095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1215990981 |
| PAC ID by PECOS | 2365488095 |
| Professional Enrollment ID | I20050705000558 |
| Full Name | Ronald W Cornwell |
| Organization Legal Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Address |
1906 Fairview Ave Suite 430 Caldwell ID 83605-5424 |
| Phone Number | 2083674278 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8527139435 |
| Number of Group Practice Members | 119 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130013 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| 130014 | WEST VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 | 2083674278 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| 1906 Fairview Ave, Suite 430, Caldwell, ID 83605-5424 | 2083674278 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| 4400 E Flamingo, Nampa, ID 83687-9203 | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Organization Legal Name | SAINT ALPHONSUS SPECIALTY SERVICES INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Hostetler | Cardiovascular Disease (cardiology) | Saint Alphonsus Specialty Services Inc | 4400 E Flamingo, Nampa, ID 83687-9203 |
| Amanda E Keel | Physical Medicine and Rehabilitation | Saint Alphonsus Specialty Services Inc | 1055 N Curtis Rd, Samg Gynecology Oncology, Boise, ID 83706-1309 |
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Gail Miller | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 900 N Liberty St, 206 Samg Maternal Fetal Medicine, Boise, ID 83704-8729 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Street Address |
1906 FAIRVIEW AVE SUITE 430 |
| City | CALDWELL |
| State | ID |
| Zip | 83605-5424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Marie F Llenos | Family Medicine | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Heather M Hoewing | Physician Assistant | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Karl P Undesser | Cardiac Electrophysiology | West Valley Medical Group Specialty Services LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Ryan S Harvey | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1906 Fairview Ave, Caldwell, ID 83605-5425 |
| Nadezhda Kravchuk | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| David Craig Sjostrand | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Lynn M Dammarell | Registered Dietitian Or Nutrition Professional | Saint Alphonsus Regional Medical Center Inc | 1906 Fairview Ave, Suite 430, Caldwell, ID 83605-5424 |
| Robert S Thacker | Nurse Practitioner | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Saeed Payvar | Cardiovascular Disease (cardiology) | West Valley Medical Group Specialty Services LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Steven J Koga | Internal Medicine | West Valley Medical Group LLC | 1906 Fairview Ave, Suite 230, Caldwell, ID 83605-5432 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Joseph Ronnau | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Dorian Larsen | Nurse Practitioner | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Elizabeth A Britain | Certified Nurse Midwife (cnm) | Ideal Option, Pllc | 3110 Cleveland Blvd, Caldwell, ID 83605-0718 |
| Sara L Helmer | Clinical Social Worker | 107 S Kimball Ave, Suite 225, Caldwell, ID 83605-3735 | |
| Melanie E Sittig | Clinical Social Worker | 524 Cleveland Blvd, Suite 227, Caldwell, ID 83605-4080 | |
| Amy K Jeppesen | Clinical Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | |
| Alishia Cairl | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Timothy Hodges | Family Medicine | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Brenton Noel | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Rylan Chan | Physician Assistant | Alliance Medical Group LLC | 512 N 21st Ave, Caldwell, ID 83605-4368 |
| Find all physicians in zip 83605 | |||
| City | CALDWELL |
| Zip Code | 83605 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CALDWELL + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ronald W Cornwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.