DR. JENNIFER CORNELIUS (NPI# 1700311693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700311693 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER CORNELIUS |
| Credential | MD |
| Practice Address |
32 Lobster Cove Rd York ME 03909-1269 |
| Practice Telephone | 5083414145 |
| Mailing Telephone | 5083414145 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C1-0005427 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906206 | Jennifer Cornelius | Technician, Other | 26 Sw 7th Ave, Dania, FL 33004-3215 | 2019-11-15 |
| 1780089276 | Jennifer Cornelius | Student in an Organized Health Care Education/Training Program | 2914 2nd St Nw, Canton, OH 44708-4605 | 2014-10-27 |
| Street Address |
32 LOBSTER COVE RD |
| City | YORK |
| State | ME |
| Zip Code | 03909-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
| 1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
| 1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
| 1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
| 1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
| 1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
| 1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
| Find all providers in zip 03909 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1710278320 | Thomas Duane Johnson | General Practice | 2330 Birch Rd, York, PA 17408-4107 | 2011-04-29 |
| 1306804315 | Susan Diane Kurz | General Practice | 1509 Rosewood Ln, York, PA 17403-4423 | 2006-05-02 |
| 1497731442 | Michael L Hughes | General Practice | 1736 Old York Rd, York, SC 29745-9458 | 2005-12-21 |
| 1699118430 | Medical Athletic Center LLC | General Practice | 1785 Loucks Rd, York, PA 17408-9710 | 2013-04-11 |
| 1265773410 | Medical Athletic Center, LLC | General Practice | 1785 Loucks Rd, York, PA 17408-9710 | 2013-03-13 |
| 1215246764 | Tricorne Primary Nerve & Joint | General Practice | 2200 S George St, Suite W2, York, PA 17403-4594 | 2010-10-01 |
| 1558519843 | John Gerald Laughner Jr. | General Practice | 2141 Pennsylvania Ave, Concentra Medical Centers, York, PA 17404 | 2008-08-29 |
| 1235354861 | Ray A Wilson | General Practice | 209 N Beaver St, York, PA 17403-5321 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822978 | Sme New Hampshire P.C. | General Practice | 87 Libby Hill Rd, Newport, ME 04953-4147 | 2020-05-13 |
| 1013254499 | Deane Lawrence Hutchins | General Practice | 30 Community Dr Apt 165, Camden, ME 04843-2065 | 2013-01-06 |
| 1063656460 | Floyd B Goffin | General Practice | 23 Pennell Way, Brunswick, ME 04011-7915 | 2009-04-29 |
| 1447432919 | Robert P Doyle, M.d., P.a. | General Practice | 87 S High St, Bridgton, ME 04009-1123 | 2007-11-27 |
| 1124207162 | Jane Garfield Dba Mednow Clinic Ellsworth | General Practice | 5 Long Ln, Ellsworth, ME 04605-1734 | 2007-10-26 |
| 1285773903 | Robert P. Hayes | General Practice | 11 Bolduc Ave, Winslow, ME 04901-7108 | 2007-02-06 |
| 1326107228 | Joseph Thomas Field | General Practice | 4 Pier Rd, Cape Porpoise, ME 04014 | 2006-12-06 |
| 1013000942 | Penobscot Community Health Center | General Practice | 79 Parkway S, Brewer, ME 04412 | 2006-10-02 |
| 1922191857 | Penobscot Community Health Center | General Practice | 92 Pendleton St, Brewer, ME 04412 | 2006-10-02 |
| 1679583678 | Richard Clarke Macdonald | General Practice | 3 Forest St, Dover-foxcroft, ME 04426 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
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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.