Active NPI
Floyd Michael Cornell, MD
- Ophthalmology Physician
- Evansville, IN
National Provider Identifier
1629188982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01072189A
- Practice address
- 954 S Kenmore Dr
Evansville, IN 47714-7513 - Phone
- (812) 402-2020
- Fax
- (812) 402-5300
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01072189A | IN | Primary |
Addresses
Primary practice location
954 S Kenmore Dr
Evansville, IN 47714-7513
Mailing address
PO Box 3597
Evansville, IN 47734-3597
Phone (812) 402-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01072189A | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Eye Associates | Ophthalmology | Past | Accepting new patients |
| Medical Eye Associates of Oregon,P.C. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Clackamas, OR
- NPI 1649380809
-
- Ophthalmology Physician
- Tigard, OR
- NPI 1417235052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1629188982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3597",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477343597",
"telephone_number": "812-402-2020",
"fax_number": "812-402-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 S KENMORE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477147513",
"telephone_number": "812-402-2020",
"fax_number": "812-402-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "FLOYD",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01072189A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Troy Andrew Coppus, MS, ATC, CSCS
- Scott M Cordts, MD
- Core Chiropractic PLLC
- Core Health Management
- Core of Evansville, Inc.
- Cosmetic Center of Evansville
- Costco Wholesale Corporation (Costco Pharmacy #1331)
- Costco Wholesale Corporation (Costco Optical #1331)
- Costco Wholesale Corporation (Costco Hearing Aid #1331)
- Traci Renee Cotter, M.P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.