Individual provider Active NPI

Janis R Cornwell, MD

  • Obstetrics & Gynecology Physician
  • Arlington, TX
National Provider Identifier
1023006871
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G9725 Issued in TX
Practice address
515 W Mayfield Rd
Ste 200
Arlington, TX 76014-2083
Phone
(817) 468-4689
Fax
(817) 465-7872
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G9725 TX Primary

Addresses

Primary practice location

515 W Mayfield Rd
Ste 200
Arlington, TX 76014-2083

Mailing address

515 W Mayfield Rd
Ste 200
Arlington, TX 76014-2083
Phone (817) 468-4689

Other practice location 1

3141 E Broad St, Ste 321
Mansfield, TX 76063
Phone (817) 468-4689

Other identifiers 1

IdentifierTypeStateIssuer
099782702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1023006871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD",
            "address_2": "STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142083",
            "telephone_number": "817-468-4689",
            "fax_number": "817-465-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAYFIELD RD",
            "address_2": "STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142083",
            "telephone_number": "817-468-4689",
            "fax_number": "817-465-7872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 E Broad St, Ste 321",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "76063",
            "country_code": "US",
            "telephone_number": "817-468-4689",
            "fax_number": "817-465-7872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "JANIS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G9725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099782702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.