Derok S Cornwell (NPI# 1174591366, PAC ID# 6608012844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174591366 |
| PAC ID by PECOS | 6608012844 |
| Professional Enrollment ID | I20130415000163 |
| Full Name | Derok S Cornwell |
| Organization Legal Name | THE ORTHOPEDIC CENTERS |
| Address |
3102 Rainbow Dr Suite 100 Rainbow City AL 35906-5804 |
| Phone Number | 2565468127 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466430004 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010046 | RIVERVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 | 2565468127 | THE ORTHOPEDIC CENTERS |
| Organization Legal Name | THE ORTHOPEDIC CENTERS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny R Sparks | Orthopedic Surgery | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Dierick R Sparks | Orthopedic Surgery | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Daniel R Sparks | Orthopedic Surgery | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Beth A Self | Nurse Practitioner | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Street Address |
3102 RAINBOW DR SUITE 100 |
| City | RAINBOW CITY |
| State | AL |
| Zip | 35906-5804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny R Sparks | Orthopedic Surgery | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Jared K Henson | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 3102 Rainbow Dr, Rainbow City, AL 35906-5804 |
| Dierick R Sparks | Orthopedic Surgery | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Michael Glenn Cazenave | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 3102 Rainbow Dr, Rainbow City, AL 35906-5804 |
| Dalton Chase Colbert | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 3102 Rainbow Dr, Rainbow City, AL 35906-5804 |
| John D Murphy | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 3102 Rainbow Dr, Rainbow City, AL 35906-5804 |
| Anabelle Perito Barangas | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 3102 Rainbow Dr, Rainbow City, AL 35906-5804 |
| Brett Alan Langham | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 3102 Rainbow Dr, Rainbow City, AL 35906-5804 |
| Daniel R Sparks | Orthopedic Surgery | The Orthopedic Centers | 3102 Rainbow Dr, Suite 100, Rainbow City, AL 35906-5804 |
| Amar Kirit Patel | Physical Therapy | Drayer Physical Therapy-alabama, LLC | 3102 Rainbow Dr, Rainbow City, AL 35906-5804 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Morris | Certified Registered Nurse Anesthetist (crna) | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Libby R Turnipseed | Nurse Practitioner | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Thomas Kevin Lackey | Anesthesiology | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| Donald E Schueler | Certified Registered Nurse Anesthetist | Coosa Pain and Wellness | 3804 Rainbow Dr, Rainbow City, AL 35906-3051 |
| John Fredrick Keithan Ii | Internal Medicine | 109 Hollingsworth Ave, Rainbow City, AL 35906-3141 | |
| David M Wallace | Chiropractic | 112 W Grand Ave, Rainbow City, AL 35906-3233 | |
| Willbon B Bates | Family Practice | 309 W Grand Ave, Rainbow City, AL 35906-3241 | |
| April R King | Optometry | 115 W Grand Ave, Suite 120, Rainbow City, AL 35906-3244 | |
| Nicole Groover Woo | Nurse Practitioner | Stopwatch Urgent Care Centers LLC | 115 W Grand Ave, Suite 90, Rainbow City, AL 35906-3268 |
| Linda Jones | Family Practice | Acsh Urgent Care of Alabama LLC | 115 W Grand Ave, Rainbow City, AL 35906-3268 |
| Find all physicians in zip 35906 | |||
| City | RAINBOW CITY |
| Zip Code | 35906 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | RAINBOW CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Derok S 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.