Benjamin C Cornwall (NPI# 1154419497, PAC ID# 3870676125) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1154419497 |
| PAC ID by PECOS | 3870676125 |
| Professional Enrollment ID | I20080211000408 |
| Full Name | Benjamin C Cornwall |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES |
| Address |
1500 E Medical Ctr Dr Regents of Univ Mi Dentl Associates Ann Arbor MI 48109-5000 |
| Phone Number | 7349365950 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY |
| Graduation Year | 1978 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 8729043534 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230046 | UNIVERSITY OF MICHIGAN HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1500 E Medical Ctr Dr, Regents of Univ Mi Dentl Associates, Ann Arbor, MI 48109-5000 | 7349365950 | REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF MICHIGAN DENTAL FACULTY ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David I Tindle | Oral Surgery | Regents of The University of Michigan Dental Faculty Associates | 1011 N University Ave, Ann Arbor, MI 48109-1078 |
| Street Address |
1500 E MEDICAL CTR DR REGENTS OF UNIV MI DENTL ASSOCIATES |
| City | ANN ARBOR |
| State | MI |
| Zip | 48109-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara R Van Kainen | Certified Nurse Midwife (cnm) | Regents of The University of Michigan | 1500 E Medical Ctr Dr, University Hospital, Ann Arbor, MI 48109-5000 |
| Ruth E Dunkle | Clinical Social Worker | Regents of The University of Michigan | 1500 E Medical Ctr Dr, Cancer and Geriatrics Center, Ann Arbor, MI 48109-5000 |
| Jan M Buchanan | Certified Nurse Midwife (cnm) | Regents of The University of Michigan | 1500 E Medical Ctr Dr, University Hospital, Ann Arbor, MI 48109-5000 |
| Michelle L Mierzwa | Radiation Oncology | Regents of The University of Michigan | 1500 E Medical Ctr Dr, Ann Arbor, MI 48109-5000 |
| Mimi S Takami | Gastroenterology | Regents of The University of Michigan | 1500 E Medical Ctr Dr, Taubman Center, Ann Arbor, MI 48109-0999 |
| Jessica L Bible | Clinical Social Worker | Regents of The University of Michigan | 1500 E Medical Ctr Dr, Cancer and Geriatrics Center, Ann Arbor, MI 48109-5000 |
| Najda I Robinson-mayer | Clinical Social Worker | Regents of The University of Michigan | 1500 E Medical Ctr Dr, Cancer and Geriatrics Center, Ann Arbor, MI 48109-5000 |
| Catherine E Keegan | Pediatric Medicine | Regents of The University of Michigan | 1500 E Medical Ctr Dr, 6th Floor Mott Hospital Rm F3894, Ann Arbor, MI 48109-0243 |
| Theodore S Lawrence | Radiation Oncology | Regents of The University of Michigan | 1500 E Medical Ctr Dr, Ann Arbor, MI 48109-5000 |
| Aleksandar F Dragovic | Radiation Oncology | Regents of The University of Michigan | 1500 E Medical Ctr Dr, Ann Arbor, MI 48109-5000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Alan Bloom | Urology | Regents of The University of Michigan | 1500 E Medical Ctr Dr B1 Fl Recp C, Cancer and Geriatrics, Ann Arbor, MI 48109 |
| Matthew David Abbott | Orthopedic Surgery | Regents of The University of Michigan | 1500 E Medical Ctr Dr B1 Fl Recp C, Ann Arbor, MI 48109 |
| Jean C Carstensen | Internal Medicine | Regents of The University of Michigan | 1500 E Med Cntr Dr 3rd Fl B, University of Michigan Med Peds Association, Ann Arbor, MI 48109-0100 |
| Jason H Kahn | Internal Medicine | Regents of The University of Michigan | 1500 E Med Cntr Dr 3rd Fl B, University of Michigan Med Peds Association, Ann Arbor, MI 48109-0100 |
| Jacklyn L Quade | Internal Medicine | Regents of The University of Michigan | 1500 E Med Cntr Dr 3rd Fl B, University of Michigan Med Peds Association, Ann Arbor, MI 48109-0100 |
| Greta L Branford | Internal Medicine | Regents of The University of Michigan | 1500 E Med Cntr Dr 3rd Fl B, University of Michigan Med Peds Association, Ann Arbor, MI 48109-0100 |
| Elizabeth Jahns | Internal Medicine | Regents of The University of Michigan | 1500 E Med Cntr Dr 3rd Fl B, University of Michigan Med Peds Association, Ann Arbor, MI 48109-0100 |
| Thuy B Ledesai | Pediatric Medicine | Regents of The University of Michigan | 1500 E Med Cntr Dr 3rd Fl B, University of Michigan Med Peds Association, Ann Arbor, MI 48109-0100 |
| Kimberly Susan O Donnell | Internal Medicine | Regents of The University of Michigan | 1500 E Med Cntr Dr 3rd Fl B, University of Michigan Med Peds Association, Ann Arbor, MI 48109-0100 |
| Kristen Arlene Krieger | Pediatric Medicine | Regents of The University of Michigan | 1500 E Med Cntr Dr 3rd Fl B, University of Michigan Med Peds Association, Ann Arbor, MI 48109-0100 |
| Find all physicians in zip 48109 | |||
| City | ANN ARBOR |
| Zip Code | 48109 |
| Specialty | ORAL SURGERY |
| City + Specialty | ANN ARBOR + ORAL SURGERY |
Please comment or provide details below to improve the information on Benjamin C Cornwall.
| 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.