Active NPI
Jacob Cornman, CAA
- Anesthesiologist Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA660
- Practice address
- 12902 Usf Magnolia Dr
Tampa, FL 33612-9416 - Phone
- (813) 745-7365
- Fax
- (813) 449-8618
- NPI assigned
- May 5, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA660 | FL | Primary |
Addresses
Primary practice location
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Mailing address
PO Box 198441
Atlanta, GA 30384-8441
Phone (813) 745-7365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210914000300 | FL | Practitioner - Anesthesiology Assistant | 4183020332 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greater Florida Anesthesiologists LLCH Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer SCRN Ctr IncBaycare Medical Group, Inc.
Practice addresses (Care Compare)
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (954) 939-5000
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (888) 860-2778
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
6901 Simmons Loop
Riverview, FL 33578-9498
900 Carillon Pkwy
Suite 205
Saint Petersburg, FL 33716-1108
Phone (954) 939-5000
Hospital & facility affiliations
- HCA Florida Brandon Hospital
- H Lee Moffitt Cancer Center & Research Institute I
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA660 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
Interoperability endpoints
- jacob.cornmanaa@direct.mybaycare.org
Organizations & group practices 8
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.
-
- Hematology & Oncology Physician
- Tampa, FL
- NPI 1306833595
FL
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Anesthesiology Physician
- Saint Petersburg, FL
- NPI 1760054944
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1427632587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198441",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848441",
"telephone_number": "813-745-7365",
"fax_number": "813-449-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12902 USF MAGNOLIA DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129416",
"telephone_number": "813-745-7365",
"fax_number": "813-449-8618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNMAN",
"first_name": "JACOB",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-05",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.