ANDREW ALFRED CORNWELL (NPI# 1841435302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841435302 |
| Entity Type | Individual |
| Full Name | ANDREW ALFRED CORNWELL |
| Credential | M.D. |
| Practice Address |
121 Se Viewmont Ave Corvallis OR 97333-1968 |
| Mailing Address |
530 Nw 27th St Corvallis OR 97330-5223 |
| Practice Telephone | 5417663546 |
| Practice Fax Number | 5417666143 |
| Mailing Telephone | 5417666835 |
| Mailing Fax Number | 5417666186 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD23625 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500627292 | 05 |
| Street Address |
121 SE VIEWMONT AVE |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-1968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023090339 | Sherry Ruth Goeden Vi | Nurse Practitioner | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2005-11-14 |
| 1902435761 | Lisa A Cuevas | Technician | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2020-04-03 |
| 1932617842 | Amber Dalton | Technician | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2018-01-12 |
| 1073667598 | Alan Laird Embry | Family Medicine | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2007-01-22 |
| 1982764882 | Benton County | Clinic/Center | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2006-12-11 |
| 1700820628 | Emily Franson-jones | Registered Nurse | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2006-06-15 |
| 1588631550 | Lisa Marie Kolka | Technician | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184094849 | Brian Lantos | Family Medicine | 1235 Nw 11th St, Corvallis, OR 97330-4616 | 2015-10-06 |
| 1437586765 | Erandhi Nirasha Hall | Family Medicine | 3620 Nw Samaritan Dr # 203a, Corvallis, OR 97330-4714 | 2013-10-01 |
| 1427323690 | Good Samaritan Hospital Corvallis | Family Medicine | 5234 Philomath Boulevard, Corvallis, OR 97333-1042 | 2012-03-20 |
| 1346514015 | Good Samaritan Hospital Corvallis | Family Medicine | 3517 Nw Samaritan Drive Suite 201, Corvallis, OR 97330-3769 | 2012-02-28 |
| 1932378486 | Good Samaritan Hospital Corvallis | Family Medicine | 990 Nw Circle Blvd Ste 101, Corvallis, OR 97330-1967 | 2008-02-28 |
| 1215117692 | Good Samaritan Hospital Corvallis | Family Medicine | 2555 Ne Belvue St, Corvallis, OR 97330 | 2007-11-14 |
| 1477612687 | Norman W Castillo | Family Medicine | 1763 Nw Kings Blvd, Corvallis, OR 97330-1905 | 2006-12-06 |
| 1124103445 | Ladonna Mae Johnson | Family Medicine | 201 Plageman Bldg, Oregon State University - Student Health, Corvallis, OR 97331-5801 | 2006-10-26 |
| 1396832127 | Marcus Daly Memorial Hospital Corporation | Family Medicine | 1037 Main Street, Corvallis, MT 59828-9374 | 2006-10-05 |
| 1093818684 | Gael Anne Wheeler | Family Medicine | 2743 Nw 9th St, Corvallis, OR 97330-3857 | 2006-09-07 |
| Find all providers in CORVALLIS | ||||
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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.