KENNETH CORNETTA (NPI# 1699731109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699731109 |
| Entity Type | Individual |
| Full Name | KENNETH CORNETTA |
| Credential | M.D. |
| Practice Address |
601 W 2nd St Bloomington IN 47403-2317 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 8123533717 |
| Practice Fax Number | 8123533713 |
| Mailing Telephone | 3179623834 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
01033270A | IN | Allopathic & Osteopathic Physicians |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
01033270 | IN | Allopathic & Osteopathic Physicians |
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
01033270 | IN | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
01033270A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100177180 | 05 |
| Street Address |
601 W 2ND ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707111 | Brenda Susan Mallory | Physical Medicine & Rehabilitation | 601 W 2nd St, Bloomington, IN 47403-2317 | 2005-06-01 |
| 1841899747 | Megan Morrison | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1598364499 | Stacey Wiseman | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1952900904 | Janet Lynn Deckard | Dietitian, Registered | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-21 |
| 1255939484 | Cerina Marie Cunningham | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-10-10 |
| 1043821846 | Riddhi Gandhi | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-08-14 |
| 1417571068 | Colin Laffoon | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-29 |
| 1891318598 | Kendra Rae Foster | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-28 |
| 1548881360 | Lindsay Sanders | Registered Nurse | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-05-04 |
| 1639798119 | Mona Visnius | Nurse Practitioner | 601 W 2nd St, Bloomington, IN 47403-2317 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146372 | Karuna S Koneru | Internal Medicine | 514 W 2nd St, Bloomington, IN 47403-2316 | 2005-07-06 |
| 1790780625 | Mark A Dayton | Internal Medicine | 601 W 2nd St, Bloomington, IN 47403-2317 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727845 | American Oncology Partners, P.a. | Internal Medicine | 8550 Naab Rd Ste 205, Indianapolis, IN 46260-2092 | 2019-02-23 |
| 1124585476 | American Oncology Partners, P.a. | Internal Medicine | 2505 N Lebanon St Ste 125, Lebanon, IN 46052-8615 | 2019-02-22 |
| 1598222846 | American Oncology Partners, P.a. | Internal Medicine | 13914 Southeastern Pkwy Ste 203a, Fishers, IN 46037-7125 | 2019-02-22 |
| 1447523337 | Leo J Mccarthy | Internal Medicine | 7480 Holliday Drive East, Indianapolis, IN 46260 | 2012-02-23 |
| 1154449528 | John Alexander Cavins | Internal Medicine | 36 Twinshore Ct, Carmel, IN 46033 | 2007-03-26 |
| 1124102231 | Utpal P Dave | Internal Medicine | 535 Barnhill Drive, Indianapolis, IN 46202-5112 | 2006-10-25 |
| 1881686848 | Hillary H Wu | Internal Medicine | 6845 Rama Dr, Indianapolist, IN 46219-1707 | 2005-08-16 |
| 1063404002 | Thomas L Whittaker | Internal Medicine | One Memorial Sq, Ste 50, Greenfield, IN 46140-1357 | 2005-08-16 |
| 1932666286 | American Oncology Partners, P.a. | Internal Medicine | 395 Westfield Rd, Noblesville, IN 46060-1425 | 2019-02-22 |
| 1063979318 | American Oncology Partners, P.a. | Internal Medicine | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.