Individual provider Active NPI

James Nelson Cornwell, D.O.

  • Family Medicine Physician
  • Sand Springs, OK
National Provider Identifier
1669884987
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6310 Issued in OK
Practice address
514 Plaza CT
Sand Springs, OK 74063
Phone
(918) 215-5100
Fax
(918) 215-5105
NPI assigned
May 21, 2014
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6310 OK Primary

Addresses

Primary practice location

514 Plaza CT
Sand Springs, OK 74063

Mailing address

514 Plaza CT
Sand Springs, OK 74063-7915
Phone (918) 215-5100

Other identifiers 2

IdentifierTypeStateIssuer
675798OtherOKMEDICARE
200769410AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001992 OK Practitioner - Family Practice 2860700895 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osumc Professional Services LLCGroup PAC ID 9234254012, 21 clinicians

Practice addresses (Care Compare)

9645 Riverside Pkwy
Suite C
Tulsa, OK 74137-7427
Phone (918) 209-5170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
81.62
Promoting interoperability
99
Improvement activities
40
Cost
72.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Emergency Medical Center Inc CurrentSince Dec 2, 2018 Accepting new patients
Medical Resource Management, LLC Family Medicine CurrentSince Dec 2, 2018 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jan 18, 2019 Accepting new patients
Williams Medical Group Practice, LLC Family Medicine CurrentSince Jan 18, 2019 Accepting new patients
Medexpress Urgent Care, PC - Oklahoma CurrentSince Aug 14, 2018 Accepting new patients
Osumc Professional Services LLC Family Medicine CurrentSince Jun 1, 2018 Accepting new patients

Locations

16205 N Pennsylvania Ave
Edmond, OK 73013
Phone (405) 705-5700

411 W 3rd St
Elk City, OK 73644
Phone (580) 303-9293

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

3428 NW Cache Rd
Lawton, OK 73505
Phone (580) 595-7207

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

13616 E 103rd St N
Ste A
Owasso, OK 74055
Phone (918) 274-8555

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

744 W 9th St
Fl 1
Tulsa, OK 74127
Phone (918) 631-8877

9645 Riverside Pkwy
Ste C
Tulsa, OK 74137
Phone (918) 209-5170

Dept 2732
Tulsa, OK 74182

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jcornwell217506@direct.saintfrancis.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1669884987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 PLAZA CT",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637915",
            "telephone_number": "918-215-5100",
            "fax_number": "918-215-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 PLAZA CT",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "74063",
            "telephone_number": "918-215-5100",
            "fax_number": "918-215-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "JAMES",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "675798",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200769410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.