DR. CRAIG ALLEN KORNICK (NPI# 1194722512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194722512 |
| Entity Type | Individual |
| Full Name | DR. CRAIG ALLEN KORNICK |
| Credential | MD |
| Practice Address |
7207 Golden Wings Road Jacksonville FL 32244 |
| Mailing Address |
7207 Golden Wings Road Jacksonville FL 32244-2004 |
| Practice Telephone | 9043891010 |
| Practice Fax Number | 9043891082 |
| Mailing Telephone | 9043891010 |
| Mailing Fax Number | 9043891082 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2017-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME82614 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 3046289 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 01896 | 01 |
| FL | 26192880 | 05 | |
| FL | CIGNA | 5849952001 | 01 |
| FL | HEALTHEASE | 217227 | 01 |
| Street Address |
7207 GOLDEN WINGS ROAD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548594880 | Riverside Surgical Center | Clinic/Center | 7207 Golden Wings Road, Suite 200, Jacksonville, FL 32244 | 2009-09-18 |
| 1265672356 | Riverside Surgical Center,llc | Clinic/Center | 7207 Golden Wings Road, Suite 200, Jacksonville, FL 32244-0000 | 2009-03-02 |
| 1639208648 | Riverside Spine & Pain Physicians, LLC | Specialist | 7207 Golden Wings Road, Suite 100, Jacksonville, FL 32244-2004 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
| 1447765748 | Sudduth Vision Pllc | Optometrist | 8000 Parramore Rd., Jacksonville, FL 32244 | 2017-12-08 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1003287814 | South Jacksonville Dental Pllc | Dentist | 8440 Blanding Blvd, Jacksonville, FL 32244 | 2015-10-20 |
| 1326444340 | Laurie Lynn Scheid | Nurse Practitioner | 7855 Argyle Forest Blvd Ste 601, Jacksonville, FL 32244 | 2014-11-18 |
| 1114322260 | Candy Sharon Lucero | Occupational Therapist | 8563-2 Argyle Business Loop, Jacksonville, FL 32244 | 2014-10-31 |
| 1780959817 | Senior Helpers | In Home Supportive Care | 6327 Argyle Forest Blvd, Suite 3, Jacksonville, FL 32244 | 2012-03-22 |
| 1093831505 | Eduardo R Paat Sr. | Marriage & Family Therapist | 63394 Argyle Forest Blvd, Jacksonville, FL 32244 | 2007-03-22 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1427113968 | John F Bibb | Dentist | 6001 4 Argyle Forest Blvd, Jacksonville, FL 32244 | 2006-12-26 |
| Find all providers in zip 32244 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497006423 | Jacksonville Pain and Injury Center, Inc | Pain Medicine | 4051 Phillips Hwy Ste 2, Jacksonville, FL 32207-6895 | 2012-10-01 |
| 1184945917 | Axiom Pain Management LLC | Pain Medicine | 2160 Dunn Ave, Jacksonville, FL 32218-4718 | 2010-06-16 |
| 1457587891 | Perry Jc Md Pa | Pain Medicine | 7999 Philips Hwy, Ste 302, Jacksonville, FL 32256-4443 | 2009-05-29 |
| 1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
| 1154326973 | Hemant N Shah | Pain Medicine | 9421 Waypoint Pl, Jacksonville, FL 32257-9229 | 2005-06-17 |
| 1487270351 | Formoso Pain Specialists, Pa | Pain Medicine | 11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694 | 2020-06-17 |
| 1104460096 | Spencer Rice | Pain Medicine | 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 | 2019-11-04 |
| 1831744549 | Orles Pain Management and Regenerative Medicine Group Pa | Pain Medicine | 4131 University Blvd S Ste 12, Jacksonville, FL 32216-4352 | 2019-08-08 |
| 1760976260 | Jacksonville Spine Center Pa | Pain Medicine | 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218-7273 | 2018-06-18 |
| 1356840409 | Advanced Pain Management Group, Inc. | Pain Medicine | 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 | 2018-02-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32244 |
Please comment or provide details below to improve the information on DR. CRAIG ALLEN KORNICK.
| 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.