WILLIAM S. CORNISH (NPI# 1013993880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013993880 |
| Entity Type | Individual |
| Full Name | WILLIAM S. CORNISH |
| Credential | MD |
| Practice Address |
825 Nw Highway 101 Suite A Lincoln City OR 97367-3241 |
| Mailing Address |
Po Box 1194 Corvallis OR 97339-1194 |
| Practice Telephone | 5419967480 |
| Practice Fax Number | 5415576439 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD172387 | OR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 27277 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
825 NW HIGHWAY 101 SUITE A |
| City | LINCOLN CITY |
| State | OR |
| Zip Code | 97367-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285172908 | Lori Lynn Folmar | Registered Nurse | 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | 2017-02-01 |
| 1760880843 | Nicholas Dean | Physician Assistant | 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | 2014-12-05 |
| 1538420971 | Debra Kaye Frank | Nurse Practitioner | 825 Nw Highway 101, Lincoln City, OR 97367-3241 | 2012-06-01 |
| 1124384383 | Samaritan North Lincoln Hospital | Orthopaedic Surgery | 825 Nw Highway 101, Suite B, Lincoln City, OR 97367-3241 | 2012-04-02 |
| 1003979105 | Howard W Frank Jr. | Orthopaedic Surgery | 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | 2006-12-19 |
| 1003983776 | Karen Niehaus | Internal Medicine | 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | 2006-11-29 |
| 1235173162 | Robert J. Kaye | Family Medicine | 825 Nw Highway 101, Lincoln City, OR 97367-3241 | 2006-06-14 |
| 1528001179 | Darell Dean Orton | Emergency Medicine | 825 Nw Highway 101, Suite A, Lincoln City, OR 97367-3241 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256121 | Amanda Suzanne Cherryholmes | Peer Specialist | 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 | 2019-07-08 |
| 1982198719 | Lakeside Family Dentistry | Dentist | 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 | 2018-06-15 |
| 1891282117 | Mark J Lee | Marriage & Family Therapist | 412 Southwest Highway 101, Lincoln City, OR 97367 | 2018-04-23 |
| 1508130196 | Michelle Marie Becker | Pharmacist | 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 | 2012-02-29 |
| 1457651465 | Laurene Norelle Alcocer | Pharmacist | 4048 Ne Hwy 101, Lincoln City, OR 97367 | 2010-10-25 |
| 1518106228 | Estate of Kevin L. Chancellor | Dentist | 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 | 2009-02-19 |
| 1346403656 | Lincoln City Pharmacy & Gifts | Pharmacy | 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 | 2008-07-07 |
| 1841487139 | Assisted Living Concepts Inc | Assisted Living Facility | 1400 Se 19th, Lincoln City, OR 97367 | 2007-10-01 |
| 1376741074 | Frank Wesley Nettleship | Dentist | 9101 Keys Place, Lincoln City, OR 97367 | 2007-07-05 |
| 1306043989 | Julie Anne Bass | Case Manager/Care Coordinator | 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 | 2007-06-28 |
| Find all providers in zip 97367 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336455146 | Brian Craig Handley | Family Medicine | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2010-08-31 |
| 1871819573 | Albert P. Thompson | Family Medicine | 1105 Se Jetty Ave, Suite C, Lincoln City, OR 97367-2632 | 2010-04-20 |
| 1316013626 | Marilyn Jean Fraser | Family Medicine | 2870 Ne West Devils Lake Rd, Lincoln City, OR 97367-5127 | 2006-11-28 |
| 1235173162 | Robert J. Kaye | Family Medicine | 825 Nw Highway 101, Lincoln City, OR 97367-3241 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN CITY |
| Zip Code | 97367 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.