William E. Cornatzer, Jr., M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5189 Issued in ND

Legal business name

WILLIAM E. CORNATZER, JR., M.D., P.C.

Practice address

225 N 7TH St # 2
United Bank BLDG
Bismarck, ND 58501-4417

Phone

(701) 224-1273

Fax

(701) 323-2929

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Dona H Cornatzer

Title

Office Manager

Phone

(701) 224-1273

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shih-Ru Martin, NP

  • Nurse Practitioner
  • Bismarck, ND
  • NPI 1629256318
  NPD (past)
• Jeannie L Delange, NP

  • Nurse Practitioner
  • Corsica, SD
  • NPI 1356488589
  NPD (past)

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1386970671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N 7TH ST # 2",
            "address_2": "UNITED BANK BLDG",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014417",
            "telephone_number": "701-224-1273",
            "fax_number": "701-323-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 7TH ST # 2",
            "address_2": "UNITED BANK BLDG",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014417",
            "telephone_number": "701-224-1273",
            "fax_number": "701-323-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. CORNATZER, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "CORNATZER",
        "authorized_official_first_name": "DONA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-224-1273"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "ND",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15003",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Dawn Wilkens Sjomeling, FNP-C
• Cheryl Marie Wilkie, QSP
• Andrea Wilkins
• Tanya Wilkinson
• Sarah Willcoxon, LSW
• William Nelson, D.C., P.C.
• Athena Marie Williams
• Edward Williams, MD
• Holly Williams, LSW
• Krista Williams, LPN

• Dermatology Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Dermatology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.