Kevin Nathan Cornwell (NPI# 1881060366, PAC ID# 3971889825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1881060366 |
| PAC ID by PECOS | 3971889825 |
| Professional Enrollment ID | I20170407002001 |
| Full Name | Kevin Nathan Cornwell |
| Organization Legal Name | MACT HEALTH BOARD INC. |
| Address |
1113a Hwy 49 San Andreas CA 95249-9583 |
| Phone Number | 2097551480 |
| Gender | M |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8325936974 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1113a Hwy 49, San Andreas, CA 95249-9583 | 2097551480 | MACT HEALTH BOARD INC. |
| Organization Legal Name | MACT HEALTH BOARD INC. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alton J Smalley | Podiatry | Mact Health Board Inc. | 12140 New York Ranch Rd, Jackson, CA 95642-9407 |
| Elisabeth A Siegler | Orthopedic Surgery | Mact Health Board Inc. | 1113 Hwy 49, San Andreas, CA 95249-9583 |
| Daljit Kaur Bagha | Family Medicine | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Ravinder Kadevari | Family Medicine | Mact Health Board Inc. | 5192 Hospital Rd, Mariposa, CA 95338-9524 |
| Alejandro Abarca | Clinical Social Worker | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Dwain W Rickertsen | Family Medicine | Mact Health Board Inc. | 12140 New York Ranch Rd, Jackson, CA 95642-9407 |
| Janet Louise Black | Clinical Social Worker | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Mikla N Derlet | Pediatric Medicine | Mact Health Board Inc. | 13975 Mono Way, Suite G, Sonora, CA 95370-2824 |
| Maureen Patricia Mooney-michels | Registered Dietitian Or Nutrition Professional | Mact Health Board Inc. | 12140 New York Ranch Rd, Jackson, CA 95642-9407 |
| Street Address |
1113A HWY 49 |
| City | SAN ANDREAS |
| State | CA |
| Zip | 95249-9583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Harris | Clinical Social Worker | 23 E St Charles, San Andreas, CA 95249 | |
| Shannon M Linton | Anesthesiology | Rodger S. Orman, Md, Inc | 768 Mt Ranch Rd, San Andreas, CA 95249 |
| Christa J Thompson | Clinical Social Worker | 23 W Saint Charles St, Center of Creativity and Community, San Andreas, CA 95249 | |
| Elisabeth A Siegler | Orthopedic Surgery | Mact Health Board Inc. | 1113 Hwy 49, San Andreas, CA 95249-9583 |
| Gary R Johnson | General Practice | 588 W Saint Charles St, San Andreas, CA 95249-9616 | |
| Sharon S Armstrong | Psychologist, Clinical | 23 W Saint Charles St, San Andreas, CA 95249-9666 | |
| Ermenegildo E Frezza | General Surgery | Mark Twain Medical Center | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 |
| Gregory Bowerman | Emergency Medicine | Yosemite Valley Medical Services, A Medical Corporation | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 |
| Vikrant M Moharir | Emergency Medicine | Yosemite Valley Medical Services, A Medical Corporation | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 |
| Craig H Lovett | Orthopedic Surgery | Mark Twain Medical Center | 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 |
| Find all physicians in zip 95249 | |||
| City | SAN ANDREAS |
| Zip Code | 95249 |
| Specialty | OPTOMETRY |
| City + Specialty | SAN ANDREAS + OPTOMETRY |
Please comment or provide details below to improve the information on Kevin Nathan Cornwell.
| 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.