David Wesley Cornelius, CRNA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SD-RN RO34209 Issued in SD

Practice address

4630 S 81St West Ave
Tulsa, OK 74107-8276

Phone

(918) 619-6444

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Anesthesiology Management Inc

  • Anesthesiology Physician
  • Enid, OK
  • NPI 1679521355
  NPD (past)
• Anderson County Anesthesia Associates, PA

  • Anesthesiology Physician
  • Palestine, TX
  • NPI 1699763557
  NPD (past)
• Anesthesia Providers of East Texas, PA

  • Certified Registered Nurse Anesthetist
  • Palestine, TX
  • NPI 1063400075
  NPD (past)
• Associated Healthcare Systems of Randolph County, Inc.

  dba Randolph County E.R. Group

  • Emergency Care Clinic/Center
  • Pocahontas, AR
  • NPI 1033283171
  NPD (past)
• Clinical Partners PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1215995816
  NPD (past)
• Jonesboro Anesthesia Inc

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1043228448
  NPD (past)
• Northeast Arkansas Health System LLC

  dba NEA Medical Center

  • Cardiovascular Specialist/Technologist
  • Jonesboro, AR
  • NPI 1750322087
  NPD (past)
• Nurse Anesthesia Professionals Inc.

  • Certified Registered Nurse Anesthetist
  • Joplin, MO
  • NPI 1790794964
  NPD (past)
• River Valley Anesthesia Associates, P. a.

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1417967472
  NPD (past)
• Shaw Anesthesia Services, PA

  • Certified Registered Nurse Anesthetist
  • Newport, AR
  • NPI 1205895141
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093852501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 S 81ST WEST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741078276",
            "telephone_number": "918-619-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 S 81ST WEST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741078276",
            "telephone_number": "918-619-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "DAVID",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "SD-RN RO34209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Corgill
• Anita Gail Corley, COTA/L
• Teira Cormier
• April Dawn Cornelison, BSW
• Janetta Cornelison
• Megan Cornelius
• Jessica B Cornell
• Neil Richard Cornell, D.D.S.
• Tabitha K Cornell, SLP
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)

• Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.