Raymond L Cornelison, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9074 Issued in OK

Practice address

2222 W Iowa Ave
Chickasha, OK 73018-2738

Phone

(405) 224-8111

Fax

(405) 594-0708

NPI assigned

Mar 11, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinton Hospital Authority

  • Family Medicine Physician
  • Clinton, OK
  • NPI 1528812237

  OK

  Medicare reassignment Care Compare group NPD
• Southern Plains Medical Center Inc

  • Clinic/Center
  • Chickasha, OK
  • NPI 1962469098

  OK

  Medicare reassignment Care Compare group NPD
• Cordell Memorial Hospital 0189

  • Clinic/Center
  • Cordell, OK
  • NPI 1134532344

  OK

  Medicare reassignment Care Compare group
• Luminary Dermatology of Oklahoma, LLC

  • Dermatology Physician
  • Edmond, OK
  • NPI 1730758541

  Dermatology, OK

  Medicare reassignment NPD
• Clinton Hospital Authority

  • General Acute Care Hospital
  • Clinton, OK
  • NPI 1942921929
  Care Compare group NPD
• Cordell Memorial Hospital 0189

  • Medicare Defined Swing Bed Hospital Unit
  • Cordell, OK
  • NPI 1205832003
  Care Compare group
• Cordell Memorial Hospital 0189

  • Rural Health Clinic/Center
  • Cordell, OK
  • NPI 1598117137
  Care Compare group
• Cordell Memorial Hospital 0189

  • Critical Access Hospital
  • Cordell, OK
  • NPI 1750384426
  Care Compare group
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Northern Oklahoma Dermatology

  • Dermatology Physician
  • Bartlesville, OK
  • NPI 1326823485

  Dermatology

  NPD (past)
• Southern Plains Medical Center Inc

  • Clinic/Center
  • Oklahoma City, OK
  • NPI 1194589978
  NPD (past)
• Southern Plains Medical Center Inc

  • Clinic/Center
  • Anadarko, OK
  • NPI 1255357745
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Weatherford Hospital Authority

  • Critical Access Hospital
  • Weatherford, OK
  • NPI 1346494275

  Hospital

  Care Compare affiliation
• Weatherford Hospital Authority

  • General Acute Care Hospital
  • Weatherford, OK
  • NPI 1578716502

  Hospital

  Care Compare affiliation
• Weatherford Hospital Authority

  • Critical Access Hospital
  • Weatherford, OK
  • NPI 1639175185

  Hospital

  Care Compare affiliation

Specialty

Dermatology

Education

University of Oklahoma College of Medicine, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton Hospital Authority 14 clinicians

Cordell Memorial Hospital 0189 4 clinicians

Southern Plains Medical Center Inc 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Weatherford Regional Hospital, Inc of Weatherford Hospital, Weatherford, OK, CCN 371323

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14167/brand/11/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2025.

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1003884339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111",
            "fax_number": "405-594-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111",
            "fax_number": "405-594-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELISON",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OK",
            "license": "9074",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "9074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1528364304",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas H. Coe, M.D.
• Colette Ellis M.Ed., CCC-SLP & Associates
• Convalescent Center of Grady County
• Tara Diane Conway, MS, RDLD
• Mitchell D Coppedge, MD
• Kayla Dawhn Cornett
• Kamber Lauren Covey, M.S.
• Amy Janelle Craig, PMHNP-BC
• Cross County Medical
• Heather Crowder

• All providers in Chickasha, OK
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.