EDWARD EUGENE CORNWELL III (NPI# 1285673079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285673079 |
| Entity Type | Individual |
| Full Name | EDWARD EUGENE CORNWELL III |
| Credential | M.D. |
| Practice Address |
2041 Georgia Ave Nw Ste 4000 Washington DC 20060-0005 |
| Mailing Address |
2041 Georgia Ave Nw Ste 6101 Washington DC 20060-0001 |
| Practice Telephone | 2028653785 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | D36081 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD17936 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 039793200 | 05 | |
| MD | 347821100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 N Wolfe St, Baltimore, MD 212870005 | 4109552244 |
| Street Address |
2041 GEORGIA AVE NW STE 4000 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20060-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013440155 | Sylvonne Layne | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw Ste 4000, Washington, DC 20060-0001 | 2017-04-05 |
| 1669488003 | Mallory Williams | Surgery | 2041 Georgia Ave Nw Ste 4000, Washington, DC 20060-4228 | 2006-07-31 |
| 1831121854 | Kakra Hughes | Surgery | 2041 Georgia Ave Nw Ste 4000, Washington, DC 20060-0001 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690631 | Idil Ibrahim | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue Washington, Nw, Washington, DC 20060 | 2020-05-13 |
| 1740801570 | Felix Wadja Wireko | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue, Nw Howard University Hospital, Washington, DC 20060 | 2020-05-04 |
| 1326669235 | Priscilla Agyemang Ababio | Student in an Organized Health Care Education/Training Program | 2041 Georgia Avenue, Nw, Howard University Hospital, Washington, DC 20060 | 2020-05-01 |
| 1932738226 | Ahmed Brgdar | Student in an Organized Health Care Education/Training Program | Howard University Hospital 2041 Georgia Avenue, Nw., Washington, DC 20060 | 2020-04-07 |
| 1427614437 | Shai Ian Bernard Stewart | Student in an Organized Health Care Education/Training Program | Howard University Hospital - Surgery Program Office, 2041 Georgia Avenue, Washinton, DC 20060 | 2019-05-15 |
| 1588127039 | Kamilah Anika Tricia Fernandez | Student in an Organized Health Care Education/Training Program | Howard University Hospital 2041 Georgia Avenue, Nw, Washington Dc, WA 20060 | 2019-04-11 |
| 1740741024 | Arjun Dev Saini | Student in an Organized Health Care Education/Training Program | 2041 Georgia Ave Nw # 2107, Washington, DC 20060 | 2019-03-28 |
| 1427547710 | Lorenzo Elliot Leys | Student in an Organized Health Care Education/Training Program | Howard University Hospital Internal Medicine, 2041 Georgia Avenue, Washington, DC 20060 | 2018-05-02 |
| 1851889877 | Fareed Rajack | Student in an Organized Health Care Education/Training Program | 2041 Georgina Avenue N.w., Howard University Hospital, Washington, DC 20060 | 2018-04-25 |
| 1801393855 | Rodney Christian Guiseppi | Student in an Organized Health Care Education/Training Program | 2401 Georgia Avenue, Nw (howard University Hospital), Washington, DC 20060 | 2018-04-06 |
| Find all providers in zip 20060 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629234547 | Sean Paul Montgomery | Surgery | Walter Reed Amc, 6900 Georgia Avenue, Nw, 5th Floor, Washington, DC 20307-0001 | 2008-07-30 |
| 1609958529 | William J Brownlee M D LLC | Surgery | 1160 Varnum St Ne Ste 213, Washington, DC 20017-2106 | 2006-10-19 |
| 1548820889 | Lindsay Daqui | Surgery | 110 Irving St Nw Ste 4b42, Washington, DC 20010-3017 | 2019-06-18 |
| 1366640203 | Christine T. Trankiem | Surgery | 110 Irving St Nw, Rm 4b39, Washington, DC 20010-2976 | 2007-07-03 |
| 1043429459 | Melissa Martinez Anastacio | Surgery | 110 Irving St Nw, Room 4b42, Washington, DC 20010-3017 | 2007-05-22 |
| 1194773952 | Hasan A Zia | Surgery | 5255 Loughboro Rd Nw, Sibley Memorial Hospital, Washington, DC 20016-2633 | 2006-05-04 |
| 1013989896 | Washington Metropolitan Practice Plan | Surgery | 110 Irving St Nw, Rm 4b42/4b39, Washington, DC 20010-2976 | 2006-02-06 |
| 1689665960 | Jack A Sava | Surgery | 110 Irving St Nw, Rm 4b39, Washington, DC 20010-2976 | 2005-11-04 |
| 1851382105 | Mark W Bowyer | Surgery | 110 Irving St Nw, Rm 4b39, Washington, DC 20010-2976 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902946247 | Teofilo Lama | Surgery | 3375 Burns Road, Suite 206, Palm Beach Gardens, DC 33410-4361 | 2007-02-07 |
| City | WASHINGTON |
| Zip Code | 20060 |
Please comment or provide details below to improve the information on EDWARD EUGENE CORNWELL III.
| 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.