DR. ELAINE CARRASCO CORNELIO


Address: 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Phone: 5416730611

DR. ELAINE CARRASCO CORNELIO (NPI# 1518250711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518250711
Entity Type Individual
Full Name DR. ELAINE CARRASCO CORNELIO
Other Name ELAINE CARRASCO
Credential MD
Practice Address 2700 Nw Stewart Pkwy
Roseburg
OR 97471-1281
Mailing Address 2801 Nw Mercy Dr.
Suite 340
Roseburg
OR 97471
Practice Telephone 5416730611
Mailing Telephone 5416772494
Mailing Fax Number 5416772294
Enumeration Date 2011-05-20
Last Update Date 2014-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics MD168824 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 2700 NW STEWART PKWY
City ROSEBURG
State OR
Zip Code 97471-1281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790766822 Mercy Healthcare, Inc General Acute Care Hospital 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 2005-11-07
1902412505 Lisa Mai Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 2020-09-18
1609480359 Jacob Watters Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2020-09-01
1245843143 Marcus Lee David Sickelton Student in an Organized Health Care Education/Training Program 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 2020-08-28
1053978403 Shelli Cross Registered Nurse 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-21
1225695711 Christa Lynne Creech Pharmacist 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-21
1366007510 Nikki Jean Whiting Nurse Practitioner 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-03
1629554811 Gary Sorcher Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-11
1548756158 Timothy Lawrence Garvey Jr. Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-06
1437645223 Kimberly Ann Romano Registered Nurse 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841805660 Rae Ann Barnes Pharmacist 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 2020-09-09
1023651031 Colton Phillips Behavioral Analyst 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 2019-10-22
1952884876 Meredith Krugel Lcsw PC Clinic/Center 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 2018-09-07
1114456563 Philip Kaser Family, LLC Pharmacy 1175 W. Harvard Avenue, Roseburg, OR 97471 2017-06-08
1053854208 Icco LLC Clinic/Center 1740 Nw Goetz Street, Roseburg, OR 97471 2016-11-21
1770034589 Evie Jepsen Case Manager/Care Coordinator 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 2016-10-17
1932551256 Jonathan Schmidt Licensed Practical Nurse 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 2016-07-11
1932580586 Jeffrey Mark Wareham Case Manager/Care Coordinator 2700 Medical Loop, Annex B, Roseburg, OR 97471 2015-06-09
1558784215 Ginger Jean Thibedeau Massage Therapist 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 2014-01-30
1427303122 Karishma Parekh Internal Medicine 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 2012-07-18
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427499367 Elizabeth Bish Young Pediatrics 901 Bellwood Ln, Roseburg, OR 97471-9299 2013-07-08
1447421250 North River Pediatrics, LLC Pediatrics 2589 Nw Edenbower Blvd, Roseburg, OR 97471-6220 2008-03-19
1700893674 Jacquelyn Outcalt Groshong Pediatrics 201 Medical Loop Rd, Suite 170, Roseburg, OR 97471-8835 2006-08-02
1134136013 Kidsdocs PC Pediatrics 201 Nw Medical Loop, #170, Roseburg, OR 97471-8821 2006-08-02
1508383282 Cynthia Blinn Steele Pediatrics 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 2017-08-24
1871016352 Akhila Arcot Vadivelan Pediatrics 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2017-07-17
1255787362 Adam Kanafani Pediatrics 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2016-05-06
1871972141 Ashley Schmieding Pediatrics 2700 Nw Stewart Pkwy, Roseburg, OR 97471 2015-05-20
1073912010 Centennial Medical Group Pediatrics 2579 Nw Edenbower Blvd, Roseburg, OR 97471-6220 2014-08-15
1982043741 Rashmitha Dachepally Pediatrics 2700 Nw Stewart Pkwy, Roseburg, OR 97471 2013-06-14
Find all providers in ROSEBURG

Competitor

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City ROSEBURG
Zip Code 97471

Improve Information

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Dataset Information

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.

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