Charles Cornish

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

420 E South Temple
Suite 420
Salt Lake City, UT 84111

Phone

(801) 322-3222

NPI assigned

Feb 23, 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

Other names 1

• Chuck Cornish Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1649771775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SOUTH TEMPLE STE 420",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111345",
            "telephone_number": "801-322-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SOUTH TEMPLE",
            "address_2": "SUITE 420",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84111",
            "telephone_number": "801-322-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNISH",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUCK",
            "last_name": "CORNISH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia P Cornejo
• Howard M Corneli, MD
• Kallie Brianne Cornell
• Cornerstone Counseling
• Cornerstone Counseling Center
• Kylie Cornwall, MD
• Alejandra Coronado
• Ana Paula Coronel Olivas, PSM, RDN
• Ana Laura Coronel
• Aaron James Corpus

• Case Manager/Care Coordinator in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Case Manager/Care Coordinator in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.