Organization Active NPI

Peter E Cornell, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Hillsboro, TX
National Provider Identifier
1437347366
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0755 Issued in TX
Legal business name
PETER E CORNELL, DPM PC
Practice address
1311 E Franklin St
Hillsboro, TX 76645-2621
Phone
(254) 582-7433
Fax
(254) 582-7626
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Peter Elsworth Cornell, DPM
Title
Owner
Phone
(254) 582-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0755 TX Primary

Addresses

Primary practice location

1311 E Franklin St
Hillsboro, TX 76645-2621

Mailing address

1311 E Franklin St
Hillsboro, TX 76645-2621
Phone (254) 582-7433

Other identifiers 1

IdentifierTypeStateIssuer
109527502MedicaidTX

National Provider Directory

National Provider Directory

Locations

8751 Camp Bowie West Blvd
Ste 124
Fort Worth, TX 76116
Phone (817) 244-7121

1311 E Franklin St
Hillsboro, TX 76645
Phone (254) 582-7433

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1437347366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E FRANKLIN ST",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452621",
            "telephone_number": "254-582-7433",
            "fax_number": "254-582-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E FRANKLIN ST",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452621",
            "telephone_number": "254-582-7433",
            "fax_number": "254-582-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER E CORNELL, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ELSWORTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-582-7433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109527502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.