CORNELIUS HATHORN (NPI# 1619484656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619484656 |
| Entity Type | Individual |
| Full Name | CORNELIUS HATHORN |
| Practice Address |
16208 Windhaven Pkwy Apt 1307 Lewisville TX 75056 |
| Practice Telephone | 2542518086 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
16208 WINDHAVEN PKWY APT 1307 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253650 | Geneiq LLC | Clinical Medical Laboratory | 2716 Standridge Drive, Floor 2 Ste 204, The Colony, TX 75056 | 2020-04-06 |
| 1952947863 | Luisa Collins | Registered Nurse | 6805 Main St., Ste 430 #660, The Colony, TX 75056 | 2019-11-26 |
| 1013473248 | Nongnuch Kuligowski | Family Medicine | 5040 Tx-121 Suite 200, Lewisville, TX 75056 | 2019-02-12 |
| 1639655806 | The Regenerative Institute of Texas | Pain Medicine | 3716 Standridge Dr Ste 200, The Colony, TX 75056 | 2018-07-11 |
| 1194236646 | 5 Star Dental | Dentist | 3751 Main Street, Suite 1000, The Colony, TX 75056 | 2017-10-23 |
| 1396254405 | Rosemore Eye Care Pa | Optometrist | 4901 Windhaven Pkwy, Suite 100, The Colony, TX 75056 | 2017-09-21 |
| 1356877724 | Jamie Mutschler | Speech-Language Pathologist | 220 Eastland Drive, Lewisville, TX 75056 | 2017-05-04 |
| 1831639160 | Jacqueline Nguyen Bang | Counselor | 2287 Sir Amant Drive, Lewisville, TX 75056 | 2017-03-06 |
| 1417495052 | Mary Alice Neville | Physician Assistant | 3600 Main Street, Suite 100, The Colony, TX 75056 | 2017-02-02 |
| 1154868503 | Healthcare Hl Emergency Services, LLC | Clinic/Center | 4780 State Hwy 121, The Colony, TX 75056 | 2017-01-24 |
| Find all providers in zip 75056 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747072 | Nonjala Relita Fletcher | Non-emergency Medical Transport (VAN) | 350 Continental Dr Apt 13208, Lewisville, TX 75067-8998 | 2020-07-17 |
| 1710492194 | Blue Collar White Glove Transportation LLC. | Non-emergency Medical Transport (VAN) | 275 E Vista Ridge Mall Dr Apt 6617, Lewisville, TX 75067-4031 | 2017-12-07 |
| 1205341757 | Jason D Green | Non-emergency Medical Transport (VAN) | 275 E Vista Ridge Mall Dr, Lewisville, TX 75067-4016 | 2017-12-06 |
| 1235641127 | Wheels for Life Inc | Non-emergency Medical Transport (VAN) | 656 Hembry St, Lewisville, TX 75057-4777 | 2017-10-31 |
| 1912419987 | Omnicare Transport LLC | Non-emergency Medical Transport (VAN) | 1137 Taylor Ln, Lewisville, TX 75077-2570 | 2017-10-31 |
| 1457887465 | Priority One Logistics,llc | Non-emergency Medical Transport (VAN) | 3505 Bans Crown Blvd, Lewisville, TX 75056-5850 | 2017-05-11 |
| 1295275709 | Achtransport | Non-emergency Medical Transport (VAN) | 1048 Stanford Ln, Lewisville, TX 75067-2966 | 2017-03-02 |
| 1154704328 | Baruch Services | Non-emergency Medical Transport (VAN) | 2528 Jacobson Dr, Lewisville, TX 75067-8200 | 2015-07-07 |
| 1104345198 | Rodney Cottingham | Non-emergency Medical Transport (VAN) | 1324 Baythorne Dr, Lewisville, TX 75077-7691 | 2017-09-12 |
| 1174077879 | Korbanot Corporation | Non-emergency Medical Transport (VAN) | 207 W College St, Lewisville, TX 75057-3855 | 2016-08-10 |
| Find all providers in LEWISVILLE | ||||
| City | LEWISVILLE |
| Zip Code | 75056 |
Please comment or provide details below to improve the information on CORNELIUS HATHORN.
| 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.