Active NPI
Julie Cornell, CRNA
- Certified Registered Nurse Anesthetist
- Canton, OH
National Provider Identifier
1124082045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA02890NA
- Practice address
- 2600 6TH St SW
Ohio Hospital Based Physician Corp
Canton, OH 44710 - Phone
- (330) 363-7462
- Fax
- (330) 363-7679
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | COA02890NA | OH | Primary |
Addresses
Primary practice location
2600 6TH St SW
Ohio Hospital Based Physician Corp
Canton, OH 44710
Mailing address
2600 6TH St SW
Ohio Hospital Based Physician Corp
Canton, OH 44710
Phone (330) 363-7462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0789115 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.19 of 100
- Quality
- 63.25
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.62 of 100
- Quality
- 77.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA02890NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Deuble Heart & Vascular Hospital, LLC | Current | Accepting new patients | |
| Barrett Pain Associates, Inc | Past | Accepting new patients | |
| Anesthesia Care of Union Hospital, Inc. | Past | Accepting new patients |
Locations
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
2600 6th St SW
Ste A2800
Canton, OH 44710
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Canton, OH
- NPI 1306495718
-
- Specialist
- Dover, OH
- NPI 1083688220
-
- Pain Medicine Physician
- Dover, OH
- NPI 1710180450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1124082045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"address_2": "OHIO HOSPITAL BASED PHYSICIAN CORP",
"city": "CANTON",
"state": "OH",
"postal_code": "44710",
"telephone_number": "330-363-7462",
"fax_number": "330-363-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"address_2": "OHIO HOSPITAL BASED PHYSICIAN CORP",
"city": "CANTON",
"state": "OH",
"postal_code": "44710",
"telephone_number": "330-363-7462",
"fax_number": "330-363-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "JULIE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA02890NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0789115",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.