JUAN ADRIAN CORNEJO (NPI# 1164751525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164751525 |
| Entity Type | Individual |
| Full Name | JUAN ADRIAN CORNEJO |
| Credential | MD |
| Practice Address |
2115 Duncan Regional Loop Duncan OK 73533-1570 |
| Practice Telephone | 5802516656 |
| Mailing Telephone | 5802552229 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 01067781B | IN | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
33186 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772151 | Juan Pablo Cornejo | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2018-05-31 |
| 1598058521 | Juan Ramon Cornejo Sr. | Counselor | 1001 Potrero Ave., San Francisco, CA 94110-2322 | 2011-05-24 |
| 1952568974 | Juan Carlos Cornejo | Family Medicine | 113 White Horse Rd W, Suite 7, Voorhees, NJ 08043-3672 | 2008-05-19 |
| 1154374445 | Juan A Cornejo | Family Medicine | 4303 Live Oak Drive, Little River, SC 29566 | 2006-05-18 |
| Street Address |
2115 DUNCAN REGIONAL LOOP |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902347651 | Duncan Regional Hospital, Inc | Clinic/Center | 2115 Duncan Regional Loop, Suite 100, Duncan, OK 73533-1570 | 2017-03-14 |
| 1588099121 | Ashley Ann Walden | Nurse Practitioner | 2115 Duncan Regional Loop, Duncan, OK 73533-1570 | 2013-09-13 |
| 1699072900 | Chelsea Jenkins | Physician Assistant | 2115 Duncan Regional Loop, Suite 100, Duncan, OK 73533-1570 | 2011-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723362 | Stefanie Alexis Dubicki | Physician Assistant | 1120 Us-81 N, Duncan, OK 73533 | 2019-11-06 |
| 1568935898 | Grace Elizabeth Peters | Physician Assistant | 1120 Us 81, Duncan, OK 73533 | 2019-01-09 |
| 1427406487 | Joseph Suarez | Behavioral Analyst | 23 N 8th, Duncan, OK 73533 | 2016-06-01 |
| 1386086148 | Andrea R Daughtrey | Behavioral Analyst | 209 S 21 St, Duncan, OK 73533 | 2013-07-22 |
| 1578830873 | Carlton D. Mitchell II | Social Worker | 1919 Elk, Duncan, OK 73533 | 2011-11-30 |
| 1336460468 | Dawn Price | Counselor | 7 1/2 N. 8th St, Duncan, OK 73533 | 2010-06-11 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1972788222 | Thelma Joann Dillard | Dentist | 1415 W Main Street, Duncan, OK 73533 | 2008-01-07 |
| 1659560548 | Julia Gayle Case | Nurse Practitioner | 2004 North Hwy 81, Duncan, OK 73533 | 2007-10-17 |
| 1407060395 | Cynthia Annette Browning | Speech-Language Pathologist | 1400 Whisenant, Duncan, OK 73533 | 2007-05-09 |
| Find all providers in zip 73533 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710349352 | Memorial Hospital of Texas County | Obstetrics & Gynecology | 401 N Polk Ave, Keyes, OK 73947 | 2016-03-23 |
| 1487040101 | Alyssa Mathilde Ohs | Obstetrics & Gynecology | 3400 W Tecumseh Rd Ste 205, Norman, OK 73072-1811 | 2015-04-09 |
| 1356339360 | Bryan Treacy | Obstetrics & Gynecology | 1035 Sw 19th St, Suite B, Moore, OK 73160-2883 | 2005-10-12 |
| 1760030027 | Phebe Joy Sistoso | Obstetrics & Gynecology | 4800 W San Antonio St, Broken Arrow, OK 74012-6127 | 2019-08-29 |
| 1982943536 | Memorial Hospital of Texas County Authority | Obstetrics & Gynecology | 421 Medical Dr, Guymon, OK 73942-3640 | 2013-02-01 |
| 1396082327 | Daran L. Parham, M.d., LLC | Obstetrics & Gynecology | 1725 E 19th St Ste 401, Tulsa, OK 74104-5409 | 2013-01-10 |
| 1689946360 | Marsha Nahra, Md, P.C. | Obstetrics & Gynecology | 6465 S Yale Ave, Ste 515, Tulsa, OK 74136-7823 | 2012-01-27 |
| 1124312004 | Jazmin Matlock Baker | Obstetrics & Gynecology | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2011-06-08 |
| 1003107863 | Marsha K. Howerton, Md, PC | Obstetrics & Gynecology | 6465 S Yale Ave, Suite 310, Tulsa, OK 74136-7823 | 2011-04-28 |
| 1881996155 | John R. Dosser, M.d., Inc. A Professional Corporation | Obstetrics & Gynecology | 3617 Nw 58th St, #200, Oklahoma City, OK 73112-4487 | 2010-11-18 |
| Find all providers with the same taxonomy | ||||
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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.