Kathryn Cornell (NPI# 1588030134, PAC ID# 6608183629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588030134 |
| PAC ID by PECOS | 6608183629 |
| Professional Enrollment ID | I20150923001118 |
| Full Name | Kathryn Cornell |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Address |
1505 W 11th St Coffeyville Office Coffeyville KS 67337-3622 |
| Phone Number | 6202515000 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567366495 |
| Number of Group Practice Members | 321 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170120 | LABETTE HEALTH |
| 170145 | COFFEYVILLE REGIONAL MEDICAL CENTER |
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1505 W 11th St, Coffeyville Office, Coffeyville, KS 67337-3622 | 6202515000 | ST JOHN PHYSICIANS INC |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Physicians | 353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Wilson | Physician Assistant | St John Physicians Inc | 112 N 5th St, Barnsdall, OK 74002-6616 |
| Cara Leanne Thompson | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Megan E Renz | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 3550 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 |
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Jodi Oder | Nurse Practitioner | St John Physicians Inc | 1505 W 11th St, Coffeyville Office, Coffeyville, KS 67337-3622 |
| Tyler Auschwitz | Neurosurgery | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Jennifer M Minadeo | Internal Medicine | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| James M Carver | Family Medicine | St John Physicians Inc | 218 W 4th Ave, Caney Office, Caney, KS 67333-1462 |
| Teressa H Lemaster | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5410 |
| Casie Nicole Brim | Nurse Practitioner | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Street Address |
1505 W 11TH ST COFFEYVILLE OFFICE |
| City | COFFEYVILLE |
| State | KS |
| Zip | 67337-3622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi Oder | Nurse Practitioner | St John Physicians Inc | 1505 W 11th St, Coffeyville Office, Coffeyville, KS 67337-3622 |
| Carrie Strimple | Nurse Practitioner | St John Physicians Inc | 1505 W 11th St, Coffeyville, KS 67337-3622 |
| Charles Empson | Family Practice | St John Physicians Inc | 1505 W 11th St, Coffeyville Office, Coffeyville, KS 67337-3622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily K Bolinger | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 102 Cline Rd, Coffeyville, KS 67337-3022 |
| Jen Wong | Diagnostic Radiology | Radiological Services, Inc | 1400 W, 4th, Coffeyville, KS 67337-3306 |
| Mary Beth Hartley | Nurse Practitioner | Coffeyville Regional Medical Center Inc | 1400 W 4th St, Coffeyville, KS 67337-3306 |
| Garrick A Rettele | Ophthalmology | 1400 W 4th Crmc 3rd Floor, Coffeyville, KS 67337-3306 | |
| Gery Hsu | Neurosurgery | Coffeyville Regional Medical Center Inc | 1400 W 4th St, Coffeyville, KS 67337-3306 |
| Chad Young Mccready | Physician Assistant | Coffeyville Regional Medical Center Inc | 1400 W 4th St, Coffeyville, KS 67337-3306 |
| Susan Diane Jenkins | Certified Registered Nurse Anesthetist (crna) | Coffeyville Regional Medical Center Inc | 1400 W 4th St, Coffeyville, KS 67337-3306 |
| Bernard E Howerter | Urology | Coffeyville Regional Medical Center Inc | 1400 W 4th St, Coffeyville, KS 67337-3306 |
| Emily Anne Williams | Emergency Medicine | Green Country Emergency Physicians Group of Tulsa, Pllc | 1400 W 4th St, Coffeyville Medical Center Emerg Dept, Coffeyville, KS 67337-3306 |
| Julia Dawn Moses | Certified Registered Nurse Anesthetist (crna) | Coffeyville Regional Medical Center Inc | 1400 W 4th St, Coffeyville Regional Medical Center LLC, Coffeyville, KS 67337-3306 |
| Find all physicians in zip 67337 | |||
| City | COFFEYVILLE |
| Zip Code | 67337 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COFFEYVILLE + NURSE PRACTITIONER |
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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.