Cornelius A Cornell-Ade, SFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00713 Issued in TX

Practice address

2610 Orleans Way
Missouri City, TX 77459-7316

Phone

(832) 306-1378

NPI assigned

Dec 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1487126868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 ORLEANS WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597316",
            "telephone_number": "832-306-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 ORLEANS WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597316",
            "telephone_number": "832-306-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL-ADE",
        "first_name": "CORNELIUS",
        "middle_name": "A",
        "credential": "SFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Convalescence Life Services PLLC
• Convergence Psychiatry PLLC
• Carolyn Conway, MA, LPC-A
• Nia Brekania Cook
• Core Surgical Support, LLC
• Irene Ekene Cornell-Ade, M.D
• Cornerstone Community Care Inc
• Corrective Chiropractic
• Corrective Health Center, PLLC
• Ela Cos

• Surgical Assistant in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.