Individual provider Active NPI

Steven William McCornack, D.O.

  • Anesthesiology Physician
  • Bellefontaine, OH
National Provider Identifier
1669459772
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34005869 Issued in OH
Practice address
205 E Palmer Rd
Bellefontaine, OH 43311
Phone
(937) 592-4015
Fax
(937) 292-7148
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34005869 OH Primary

Addresses

Primary practice location

205 E Palmer Rd
Bellefontaine, OH 43311

Mailing address

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Other identifiers 1

IdentifierTypeStateIssuer
0969046MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050121000257 OH Practitioner - Anesthesiology 6204885718 Reassigns benefits to 5 organizations
I20190116000536 MI Practitioner - Anesthesiology 6204885718 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Homeopathic Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Ohio PLLCGroup PAC ID 2769743335, 14 clinicians
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

1400 W Main St
Bellevue, OH 44811-9088
Phone (419) 483-4040

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 263-2400

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34005869OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates of Mi PC Anesthesiology CurrentSince Dec 14, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Radius Anesthesia of Ohio, LLC Anesthesiology CurrentSince Dec 15, 2021 Accepting new patients
Acquisition Bell Hospital LLC Anesthesiology CurrentSince Dec 13, 2020 Accepting new patients
Somc Medical Care Foundation, Inc. Anesthesiology CurrentSince Jun 6, 2016 Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Aug 23, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Jun 6, 2016 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Anesthesiology CurrentSince Jun 15, 2020 Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Dec 13, 2020 Accepting new patients
Promedica Central Physicians CurrentSince Nov 5, 2018 Accepting new patients
Insight Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Radius Anesthesia of Michigan PLLC Anesthesiology CurrentSince Oct 28, 2023 Accepting new patients
Grayling Anesthesia Associates PC Anesthesiology CurrentSince Feb 18, 2019 Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Aug 23, 2023 Accepting new patients
Alliance Anesthesia PLLC CurrentSince Mar 18, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Nov 5, 2018 Accepting new patients
Ams Ohio PLLC Anesthesiology CurrentSince Jul 18, 2018 Accepting new patients
Anesthesiology Services Network LTD Anesthesiology Past Accepting new patients
Jawad a Shah, MD PC PastSince Nov 1, 2020 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Memorial Anesthesia, LTD. Anesthesiology Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Pediatric Anesthesia Associates of Dayton, Inc. Anesthesiology Past Accepting new patients

Locations

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

4800 S Saginaw St
Ste 1840
Flint, MI 48507
Phone (810) 732-8336

4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

31235 Harper Ave
St Clr Shores, MI 48082
Phone (267) 817-8902

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546

Interoperability endpoints

  • Direct secure messaging: steven.mccornack@somc.medicity.net

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 24

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1669459772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-592-4015",
            "fax_number": "937-292-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-592-4015",
            "fax_number": "937-292-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORNACK",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34005869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0969046",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.