Timothy G Cornitius (NPI# 1679554133, PAC ID# 1850331570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1679554133 |
| PAC ID by PECOS | 1850331570 |
| Professional Enrollment ID | I20050511000906 |
| Full Name | Timothy G Cornitius |
| Organization Legal Name | HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA |
| Address |
2707 Vine St Suite 10 Hays KS 67601-1908 |
| Phone Number | 7856283231 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1951388289 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170023 | ST CATHERINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2707 Vine St, Suite 10, Hays, KS 67601-1908 | 7856283231 | HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA |
| Organization Legal Name | HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Marie Gillespie | Nurse Practitioner | Heartland Dermatology and Skin Cancer Center, Pa | 828 Elmhurst Blvd, Salina, KS 67401-7406 |
| Rita J Stueder | Nurse Practitioner | Heartland Dermatology and Skin Cancer Center, Pa | 1017 Jackson St, Suite C, Great Bend, KS 67530-4200 |
| Brianna Elizabeth Quinley | Nurse Practitioner | Heartland Dermatology and Skin Cancer Center, Pa | 700 Medical Ctr Dr, Suite 101, Newton, KS 67114-9014 |
| Shelly R Keesling | Physician Assistant | Heartland Dermatology and Skin Cancer Center, Pa | 828 Elmhurst Blvd, Salina, KS 67401-7406 |
| Sean K Hull | Physician Assistant | Heartland Dermatology and Skin Cancer Center, Pa | 828 Elmhurst Blvd, Salina, KS 67401-7406 |
| Amy L Avant | Nurse Practitioner | Heartland Dermatology and Skin Cancer Center, Pa | 700 Medical Ctr Dr, Suite 101, Newton, KS 67114-9014 |
| Mary K Mckee | Physician Assistant | Heartland Dermatology and Skin Cancer Center, Pa | 828 Elmhurst Blvd, Salina, KS 67401-7406 |
| Kayla Dortland | Nurse Practitioner | Heartland Dermatology and Skin Cancer Center, Pa | 828 Elmhurst Blvd, Salina, KS 67401-7406 |
| Street Address |
2707 VINE ST SUITE 10 |
| City | HAYS |
| State | KS |
| Zip | 67601-1908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlyn R Swayne | Chiropractic | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Kassidy Nicole Stecklein | Physical Therapy | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Jillian Marie Stecklein | Physical Therapy | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Mark R Melton | Chiropractic | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Kenneth J Koerner | Chiropractic | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Carly Alyssa Davis | Physical Therapy | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Brull | Diagnostic Radiology | Oroville Hospital | 3315 Thunderbird Dr, Hays, KS 67601-1401 |
| Relaford W Stuart | Chiropractic | 2919 Hall St, Hays, KS 67601-1818 | |
| June M Knittel | Qualified Audiologist | 2705 Vine St, Suite 3, Hays, KS 67601-1900 | |
| Robin Camille Hale | Chiropractic | 2705 Vine St, Suite 5, Hays, KS 67601-1900 | |
| Lisa E Griego | Nurse Practitioner | Hays Medical Center Inc | 3216 Vine St, Suite 20, Hays, KS 67601-1936 |
| Marypat P Dwyer | Nurse Practitioner | Hays Medical Center Inc | 3216 Vine St, Suite 20, Hays, KS 67601-1936 |
| Gregory J Seiler | Certified Registered Nurse Anesthetist (crna) | 1904 E 29th St, Hays, KS 67601-2008 | |
| Leann Lynne Zimmerman | Nurse Practitioner | 2913 Barclay Dr, Hays, KS 67601-2020 | |
| Julie A Brull | Nurse Practitioner | Great Plains Dermatology, P.a. | 2708 Sternberg Dr, Hays, KS 67601-2057 |
| Donald K Tillman | Dermatology | Great Plains Dermatology, P.a. | 2708 Sternberg Dr, Hays, KS 67601-2057 |
| Find all physicians in zip 67601 | |||
| City | HAYS |
| Zip Code | 67601 |
| Specialty | DERMATOLOGY |
| City + Specialty | HAYS + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.