DR. WILLIE SANDOUAL CORTEZ (NPI# 1770610800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770610800 |
| Entity Type | Individual |
| Full Name | DR. WILLIE SANDOUAL CORTEZ |
| Credential | MD |
| Practice Address |
547 East Elm Lebanon MO 65536 |
| Practice Telephone | 4175329191 |
| Practice Fax Number | 4175321963 |
| Mailing Telephone | 4175329191 |
| Mailing Fax Number | 4175321963 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 30394 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
547 EAST ELM |
| City | LEBANON |
| State | MO |
| Zip Code | 65536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1154707511 | Sofia Iqbal | Internal Medicine | 120 Hospital Dr Ste 300, Lebanon, MO 65536-9227 | 2015-08-07 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1891051892 | Charles Opperman | Internal Medicine | 1470 N Broadway St Ste 130, Lebanon, OH 45036-1762 | 2012-04-04 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1215145404 | Neenos Abd Alnoor | Internal Medicine | 4th & Walnut Street, 2nd Floor, Lebanon, PA 17042-6123 | 2007-05-19 |
| 1154541050 | Integrity Hospitalists Group LLP | Internal Medicine | 206 Babb Drive, Suite C, Lebanon, TN 37087 | 2007-04-26 |
| 1295806750 | Neil R. Schwartzman | Internal Medicine | 441 W Elm St Ste A, Lebanon, MO 65536-3573 | 2006-11-13 |
| 1598853889 | Samina Yousuf Md PC | Internal Medicine | 383 Highland Dr, Lebanon, VA 24266-4632 | 2006-10-11 |
| 1578661443 | Tullahoma Hma Physician Management Inc | Internal Medicine | 124 Public Sq, Lebanon, TN 37087-2734 | 2006-09-21 |
| 1942314075 | Hardie V. Sorrels IIi | Internal Medicine | 715 Castle Heights Ct # B, Lebanon, TN 37087-2666 | 2006-08-18 |
| Find all providers in LEBANON | ||||
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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.