MS. CAROL S. CORNELIUS (NPI# 1598823528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598823528 |
| Entity Type | Individual |
| Full Name | MS. CAROL S. CORNELIUS |
| Other Name | MS. CAROL S. RUSSELL |
| Credential | PA-C |
| Practice Address |
900 Lincoln Ave Grant NE 69140-3095 |
| Mailing Address |
912 Central Ave Grant NE 69140-3099 |
| Practice Telephone | 3083527200 |
| Practice Fax Number | 3083527290 |
| Mailing Telephone | 3083527100 |
| Mailing Fax Number | 3083527290 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 931 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 912 Central Ave, Grant, NE 691403099 | 3083527100 | 3083527290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114219888 | Carol M Cornelius | Pharmacist | 420 S Orchard St, Boise, ID 83705-1238 | 2011-05-12 |
| 1740256007 | Carol Christine Cornelius | Family Medicine | 15611 Pomerado Rd, Poway, CA 92064-2437 | 2006-02-27 |
| Street Address |
900 LINCOLN AVE |
| City | GRANT |
| State | NE |
| Zip Code | 69140-3095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979010 | Pamela L Murphy | Nurse Anesthetist, Certified Registered | 900 Lincoln Ave, Grant, NE 69140-3095 | 2005-08-15 |
| 1710316237 | Banner Health Physicians Colorado LLC | Clinic/Center | 900 Lincoln Ave, Grant, NE 69140-3095 | 2013-11-05 |
| 1508102450 | Bradley A Wiesner | Nurse Anesthetist, Certified Registered | 900 Lincoln Ave, Grant, NE 69140-3095 | 2012-12-21 |
| 1295089076 | Banner Health Physicians West LLC | Clinic/Center | 900 Lincoln Ave, Grant, NE 69140-3095 | 2012-11-01 |
| 1215204995 | Benjamin Robert Holmstedt | Physical Therapist | 900 Lincoln Ave, Grant, NE 69140-3095 | 2011-11-22 |
| 1164670352 | Perkins County Hospital District | Durable Medical Equipment & Medical Supplies | 900 Lincoln Ave, Grant, NE 69140-3095 | 2008-09-03 |
| 1871705210 | Shane B Banks | Surgery | 900 Lincoln Ave, Grant, NE 69140-3095 | 2007-05-06 |
| 1598879397 | Perkins County Hospital District | Nursing Facility/Intermediate Care Facility | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-18 |
| 1629086012 | Perkins County Hospital District | General Acute Care Hospital | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-03 |
| 1437167970 | Perkins County Hospital District | General Acute Care Hospital | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248220 | John Matthew Byrd | Family Medicine | 912 Central Avenue, Grant, NE 69140 | 2006-03-09 |
| 1366543365 | Colglazier Clinic | Clinic/Center | 945 Washington Avenue, Grant, NE 69140-0097 | 2006-09-25 |
| 1508969189 | Marvin Allen Swan | Dentist | 242 Central Ave, Grant, NE 69140-0863 | 2006-09-07 |
| 1528255668 | First Insight Eyecare, LLC | Optometrist | 115 W 3rd, Grant, NE 69140-0950 | 2007-10-03 |
| 1255340717 | Jorje Jette Geisert | Pharmacist | 218 Central Ave, Grant, NE 69140-3016 | 2006-08-05 |
| 1740526151 | J&j Pharms. LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2012-12-13 |
| 1073648663 | J & J Pharmacies LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2007-02-22 |
| 1619912045 | County of Perkins | Ambulance | 342 Central Ave, Grant, NE 69140-3021 | 2006-06-19 |
| 1285631721 | Clifford Ray Colglazier | General Practice | 945 Washington Ave, Grant, NE 69140-3044 | 2005-06-30 |
| 1235683087 | Julie Kuskie | Nurse Practitioner | 945 Washington Ave, Grant, NE 69140-3044 | 2016-08-10 |
| Find all providers in zip 69140 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914650 | Robert Poehl | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-06-27 |
| 1821066705 | Traci E Draucker | Physician Assistant | 912 Central Ave, Grant, NE 69140-3099 | 2006-03-08 |
| 1124092838 | Lisabeth Joy Gee | Physician Assistant | 11 N Maple St, Grant, MI 49327 | 2006-02-17 |
| 1083252530 | Shannon Liewer | Physician Assistant | 912 Central Ave, Grant, NE 69140-3099 | 2019-12-16 |
| 1639648579 | Breanna Marie Manchip | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2018-11-21 |
| 1295257509 | Brett J Stacer | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2017-07-10 |
| 1801169404 | Lindsey Marie Hunter | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2012-02-14 |
| 1205164852 | Gerard Paul Miklosi | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2009-11-19 |
| 1629099619 | Wendy R Alvesteffer | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-07-22 |
| 1700804234 | Kortnie A Karp | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-07-17 |
| Find all providers in GRANT | ||||
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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.