Active NPI
Jacqueline Cornell, MD
- Obstetrics & Gynecology Physician
- Akron, OH
National Provider Identifier
1265953335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35.142065
- Practice address
- 215 W Bowery St Ste 5500
Akron, OH 44308-1023 - Phone
- (330) 543-4500
- NPI assigned
- Jun 29, 2017
- Last updated
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301113228 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 35.142065 | OH | Primary |
Addresses
Primary practice location
215 W Bowery St Ste 5500
Akron, OH 44308-1023
Mailing address
215 W Bowery St Ste 5500
Akron, OH 44308-1023
Phone (330) 543-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170717001672 | MI | Order and Referring Only - Obstetrics/Gynecology | 0648540179 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301113228 | MI | MD | Obstetrics & Gynecology Physician |
| 35.142065 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children's Hospital | Current | Accepting new patients | |
| Summa Health System | Past | Accepting new patients | |
| Pediatrix Medical Group of Ohio Corp | Obstetrics & Gynecology | Past | Accepting new patients |
| Children's Hospital Medical Center of Akron | Past | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
Interoperability endpoints
- jcornell52661@direct.chmca.org
Organizations & group practices 4
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.
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
dba Akron Children's Hospital-Physician Group
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
- Neonatal-Perinatal Medicine Physician
- Dayton, OH
- NPI 1467559179
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1265953335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W BOWERY ST STE 5500",
"city": "AKRON",
"state": "OH",
"postal_code": "443081023",
"telephone_number": "330-543-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BOWERY ST STE 5500",
"city": "AKRON",
"state": "OH",
"postal_code": "443081023",
"telephone_number": "330-543-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "JACQUELINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2021-06-24",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301113228",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.142065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.