Amber Joy Corneillie (NPI# 1033187265, PAC ID# 9931152766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033187265 |
| PAC ID by PECOS | 9931152766 |
| Professional Enrollment ID | I20050222000171 |
| Full Name | Amber Joy Corneillie |
| Organization Legal Name | DERMATOLOGY AND SKIN SURGERY CENTER |
| Address |
555 W Crosstown Pkwy Suite 101 Kalamazoo MI 49008-1967 |
| Phone Number | 2693422991 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2668467838 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7070 E Dr N, Battle Creek, MI 49014-8562 | 2696601670 | DERMATOLOGY AND SKIN SURGERY CENTER |
| 2121 Spring Arbor Rd, Jackson, MI 49203-2707 | 5177875350 | DERMATOLOGY AND SKIN SURGERY CENTER |
| 555 W Crosstown Pkwy, Suite 101, Kalamazoo, MI 49008-1967 | 2693422991 | DERMATOLOGY AND SKIN SURGERY CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | DERMATOLOGY AND SKIN SURGERY CENTER |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey M Nyland | Physician Assistant | Dermatology and Skin Surgery Center | 2121 Spring Arbor Rd, Jackson, MI 49203-2707 |
| Katherine E Wasek | Physician Assistant | Dermatology and Skin Surgery Center | 16510 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Caleb D Lee | Internal Medicine | Dermatology and Skin Surgery Center | 555 W Crosstown Pkwy, Suite 101, Kalamazoo, MI 49008-1967 |
| John Joe Pomann Iii | Dermatology | Dermatology and Skin Surgery Center | 16540 19 Mile Rd, Clinton Twp, MI 48038-1106 |
| Mark A Kuriata | Dermatology | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Walter G Korytowsky | Dermatology | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Diana C Parks | Nurse Practitioner | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Hilary L Beyerlein | Physician Assistant | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Johanna Elaine Killian | Physician Assistant | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Sarah P Salvaggio | Nurse Practitioner | Dermatology and Skin Surgery Center | 7070 E Dr N, Battle Creek, MI 49014-8562 |
| Street Address |
555 W CROSSTOWN PKWY SUITE 101 |
| City | KALAMAZOO |
| State | MI |
| Zip | 49008-1967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caleb D Lee | Internal Medicine | Dermatology and Skin Surgery Center | 555 W Crosstown Pkwy, Suite 101, Kalamazoo, MI 49008-1967 |
| Phyllis M Florian | Psychologist, Clinical | 555 W Crosstown Pkwy, Suite 403, Kalamazoo, MI 49008-1999 | |
| Jonathan D Sanner | Physical Therapy | Michiana Spine, Sports and Occupational Rehab, PC | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 |
| Stephanie M Mason | Physician Assistant | Dermatology and Skin Surgery Center | 555 W Crosstown Pkwy, Suite 101, Kalamazoo, MI 49008-1967 |
| Cynthia Marie Turner | Physical Therapy | Michiana Spine, Sports and Occupational Rehab, PC | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 |
| Tamara K Jardine | Physical Therapy | Michiana Spine, Sports and Occupational Rehab, PC | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 |
| Timothy Swartz | Internal Medicine | Michiana Spine, Sports and Occupational Rehab, PC | 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1982 |
| Tom D Till | Physician Assistant | Dermatology and Skin Surgery Center | 555 W Crosstown Pkwy, Suite 101, Kalamazoo, MI 49008-1967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naseer Ahmed | Internal Medicine | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
| Ramasubba R Tatini | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
| Robert C Shaw Jr. | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
| Deolixto Pascual | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
| Timothy Byon | Family Medicine | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
| Argelio Lopez-roca | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
| Anthony O Anunwa | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
| Martha M Mann | Psychiatry | State of Michigan | 1312 Oakland Dr, Kalamazoo, MI 49008-1205 |
| Jayne Anne Barr | Internal Medicine | Western Michigan University School of Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 |
| Richard R Roach | Internal Medicine | Western Michigan University School of Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 |
| Find all physicians in zip 49008 | |||
| City | KALAMAZOO |
| Zip Code | 49008 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KALAMAZOO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amber Joy Corneillie.
| 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.