Organization Active NPI

Robert R Cornwell MD PC

  • Internal Medicine Physician
  • Knox, IN
National Provider Identifier
1467640300
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ROBERT R CORNWELL MD PC
Practice address
1901 S Heaton St
Knox, IN 46534-2325
Phone
(574) 772-7300
Fax
(574) 772-7301
NPI assigned
Oct 4, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Robert R Cornwell, MD
Title
Owner
Phone
(574) 772-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1901 S Heaton St
Knox, IN 46534-2325

Mailing address

1901 S Heaton St
Knox, IN 46534-2325
Phone (574) 772-7300

National Provider Directory

National Provider Directory

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": "1196294400000",
    "number": "1467640300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HEATON ST",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342325",
            "telephone_number": "574-772-7300",
            "fax_number": "574-772-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HEATON ST",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465342325",
            "telephone_number": "574-772-7300",
            "fax_number": "574-772-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R CORNWELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-772-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knox, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.