DR. CHALMERS E CORNELIUS III (NPI# 1770582470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770582470 |
| Entity Type | Individual |
| Full Name | DR. CHALMERS E CORNELIUS III |
| Credential | M.D. |
| Practice Address |
919 Conestoga Rd Bldg 2, Suite 106 Bryn Mawr PA 19010-1352 |
| Practice Telephone | 6105255028 |
| Practice Fax Number | 6105252494 |
| Mailing Telephone | 6105255028 |
| Mailing Fax Number | 6105252494 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2013-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
008034E | PA | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
MD008034E | PA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
MD008034E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
919 CONESTOGA RD BLDG 2, SUITE 106 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901802 | John K Mulholland | Dermatology | 919 Conestoga Rd, Bldg 2, Suite 106, Bryn Mawr, PA 19010-1352 | 2005-06-08 |
| 1407419799 | Sleep Better Dental Medicine of The Main Line | Durable Medical Equipment & Medical Supplies | 919 Conestoga Rd, Bryn Mawr, PA 19010-1352 | 2019-04-22 |
| 1639554090 | Denise Wilks | Midwife | 919 Conestoga Rd, Bldg 1 Ste 104, Bryn Mawr, PA 19010 | 2015-07-28 |
| 1255718995 | Womens Health Care Group of Pa | Midwife | 919 Conestoga Rd, Bldg 1 Ste 104, Bryn Mawr, PA 19010-1352 | 2015-05-01 |
| 1184019176 | Cirillo Center for Plastic Surgery | Plastic Surgery | 919 Conestoga Rd, Bldg 2, Suite 105, Bryn Mawr, PA 19010-1352 | 2015-04-06 |
| 1598186272 | Lisa White | Physician Assistant | 919 Conestoga Rd, Bryn Mawr, PA 19010-1352 | 2013-12-23 |
| 1922433309 | Amy Shoumer Dmd, PC | Dentist | 919 Conestoga Rd, Suite 100, Bryn Mawr, PA 19010-1352 | 2013-09-04 |
| 1578801841 | Susan Kellogg Spadt | Nurse Practitioner | 919 Conestoga Rd, Building 1, Suite 300, Bryn Mawr, PA 19010-1352 | 2013-01-22 |
| 1124371174 | Amy Richelle Swett | Social Worker | 919 Conestoga Rd, Building 3, Suite 110, Bryn Mawr, PA 19010-1352 | 2012-10-15 |
| 1598017535 | Sandra Dickinson | Social Worker | 919 Conestoga Rd, Suite 3, Bryn Mawr, PA 19010-1352 | 2012-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431043 | Stacey E. Englander-turner | Dermatology | 940 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3845 | 2005-07-14 |
| 1356349377 | Victoria Ann Cirillo-hyland | Dermatology | 919 Conestoga Rd, Bldg 2, Suite 106, Bryn Mawr, PA 19010-1352 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164684767 | Susan D Gisser | Dermatology | 515 Redleaf Rd, Wynnewood, PA 19096-1625 | 2008-06-26 |
| 1205851888 | John T Seykora | Dermatology | 421 Curie Blvd, 1011 Brb, Philadelphia, PA 19104-4863 | 2006-07-13 |
| 1790722981 | Debra Jih | Dermatology | 822 Pine St Ste 2a, Philadelphia, PA 19107-6187 | 2006-05-31 |
| 1013965011 | Marisa Frances Baldassano | Dermatology | 828 Creekview Dr, Blue Bell, PA 19422-2729 | 2006-05-04 |
| 1174585418 | Ethel Marsha Ziselman | Dermatology | 2 Castlebar Ln, Malvern, PA 19355 | 2006-04-03 |
| 1336141373 | Thomas D Griffin | Dermatology | 3805 W Chester Pike, Newtown Square, PA 19073-2329 | 2005-08-10 |
| 1508865304 | Christine S Stanko | Dermatology | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2005-07-14 |
| 1154329035 | Nancy S House | Dermatology | 419 Walnut St, Sewickley, PA 15143-1535 | 2005-07-13 |
| 1629610936 | St Luke's Physician Group, Inc | Dermatology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2019-10-09 |
| 1922570498 | Methodist Associates In Healthcare, Inc. | Dermatology | 3 Crescent Dr Fl 2, Philadelphia, PA 19112-1016 | 2018-12-21 |
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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.