CURTIS L CORNELLA-CARLSON (NPI# 1205867611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205867611 |
| Entity Type | Individual |
| Full Name | CURTIS L CORNELLA-CARLSON |
| Credential | DO |
| Practice Address |
3289 N Mayfair Rd Wauwatosa WI 53222 |
| Mailing Address |
3003 W Good Hope Rd Milwaukee WI 53209 |
| Practice Telephone | 4147717900 |
| Practice Fax Number | 4146076336 |
| Mailing Telephone | 4143523100 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 45926 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RR MEDICARE | P00823715 | 01 |
| WI | 43508400 | 05 |
| Street Address |
3289 N MAYFAIR RD |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396737227 | David L Becker | Orthopaedic Surgery | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2005-08-17 |
| 1821576406 | Mackenzee Kuczmarski | Nurse Practitioner | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2018-08-05 |
| 1932593324 | Steven J Wiebe | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2015-03-24 |
| 1306100227 | Connie Anjoli Desarden | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2012-06-26 |
| 1801107560 | Anu Verma | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2010-06-28 |
| 1174854251 | Charise L. Kelm | Physical Therapist | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2010-01-29 |
| 1184811085 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2007-09-25 |
| 1700072931 | Meha Minhas | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2007-09-20 |
| 1902008196 | Jesus Casas | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2007-06-01 |
| 1881741148 | Raymond R Ballecer | Internal Medicine | 3289 N Mayfair Rd, Wauwatosa, WI 53222-3203 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073771150 | Richard M. Clifford | Obstetrics & Gynecology | 2350 N Met To Wee Ln, Wauwatosa, WI 53226-1613 | 2008-05-27 |
| 1528133725 | Amy Tamburrino | Obstetrics & Gynecology | 3040 North 117th Street, Suite 200, Wauwatosa, WI 53222 | 2006-11-22 |
| 1689775785 | Stephen Patrick Mcavoy | Obstetrics & Gynecology | 3040 N 117th St Ste 200, Wauwatosa, WI 53222-4129 | 2006-09-25 |
| 1548377161 | Patricia A Heywood | Obstetrics & Gynecology | 201 N Mayfair Rd Fl 3, Wauwatosa, WI 53226 | 2006-08-23 |
| 1215987128 | Danish S Siddiqui | Obstetrics & Gynecology | 8320 W Bluemound Rd, Wauwatosa, WI 53213-3367 | 2006-05-11 |
| 1245224864 | Dennis Worthington | Obstetrics & Gynecology | 201 N Mayfair Road, Wauwatosa, WI 53226-4216 | 2005-09-09 |
| 1275927188 | Rachael Persons | Obstetrics & Gynecology | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2015-03-28 |
| 1467772749 | Elizabeth Breuer | Obstetrics & Gynecology | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2010-06-09 |
| 1871810416 | Renee Marie Zimmermann | Obstetrics & Gynecology | 3040 N 117th St, Suite 200, Wauwatosa, WI 53222-4128 | 2010-04-21 |
| 1831423045 | Michael J. Kuhn, Jr., M.d., S.c. | Obstetrics & Gynecology | 2500 N Mayfair Rd, 330, Wauwatosa, WI 53226-1409 | 2009-09-22 |
| Find all providers in WAUWATOSA | ||||
Please comment or provide details below to improve the information on CURTIS L CORNELLA-CARLSON.
| 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.