Michael Cornelison (NPI# 1215020730, PAC ID# 3870648132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1215020730 |
| PAC ID by PECOS | 3870648132 |
| Professional Enrollment ID | I20090910000207 |
| Full Name | Michael Cornelison |
| Organization Legal Name | CUPERTINO PODIATRY INC. |
| Address |
10353 Torre Ave Suite C Cupertino CA 95014-3217 |
| Phone Number | 4084465811 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0042365306 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 | 4084465811 | CUPERTINO PODIATRY INC. |
| Organization Legal Name | CUPERTINO PODIATRY INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Elardo | Podiatry | Cupertino Podiatry Inc. | 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 |
| Ami Atul Sheth | Podiatry | Cupertino Podiatry Inc. | 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 |
| Stephen Koryo An | Podiatry | Cupertino Podiatry Inc. | 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 |
| Adam Howard | Podiatry | Cupertino Podiatry Inc. | 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 |
| Street Address |
10353 TORRE AVE SUITE C |
| City | CUPERTINO |
| State | CA |
| Zip | 95014-3217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Elardo | Podiatry | Cupertino Podiatry Inc. | 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 |
| Ami Atul Sheth | Podiatry | Cupertino Podiatry Inc. | 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 |
| Stephen Koryo An | Podiatry | Cupertino Podiatry Inc. | 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 |
| Manjul C Patwardhan | Family Medicine | 10353 Torre Ave, A, Cupertino, CA 95014-3217 | |
| Adam Howard | Podiatry | Cupertino Podiatry Inc. | 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Petra A Eggert | Chiropractic | 21040 Homestead Rd, Suite 204, Cupertino, CA 95014-0238 | |
| Keith Kosakura | Optometry | 19998 Homestead Rd, Suite E, Cupertino, CA 95014-0569 | |
| Sreelakshmi Ravula | Pathology | Permanente Medical Group Inc | 19000 Homestead Rd, Cupertino, CA 95014-0712 |
| Chunying Xu | Psychiatry | Permanente Medical Group Inc | 19000 Homestead Rd, Cupertino, CA 95014-0712 |
| Christina N Gonerko | Clinical Social Worker | Permanente Medical Group Inc | 19000 Homestead Rd, Cupertino, CA 95014-0712 |
| Justin Yee-ming Kei | Psychiatry | Permanente Medical Group Inc | 19000 Homestead Rd, Cupertino, CA 95014-0712 |
| Kimberly Y Takemoto | Physical Therapy | Permanente Medical Group Inc | 19000 Homestead Rd, Cupertino, CA 95014-0712 |
| Rajshree N Bongale | Psychiatry | Permanente Medical Group Inc | 19000 Homestead Rd, Cupertino, CA 95014-0712 |
| Olga Rosito | Psychologist, Clinical | Permanente Medical Group Inc | 19000 Homestead Rd, Cupertino, CA 95014-0712 |
| Aleksandra S Soykin | Clinical Psychologist | Permanente Medical Group Inc | 19000 Homestead Rd, Cupertino, CA 95014-0712 |
| Find all physicians in zip 95014 | |||
| City | CUPERTINO |
| Zip Code | 95014 |
| Specialty | PODIATRY |
| City + Specialty | CUPERTINO + PODIATRY |
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| 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.