Marcus H Cornwall, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO23052 Issued in OR

Practice address

6975 SE Lake Rd
Milwaukie, OR 97267-2103

Phone

(503) 905-2526

Fax

(503) 905-2545

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in OR

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Marcus Cornwall, Dopc

  • Primary Care Clinic/Center
  • Milwaukie, OR
  • NPI 1154514446
  Medicare reassignment Authorized official
• Family Medical Associates PC

  • Family Medicine Physician
  • Lebanon, OR
  • NPI 1336313923
  NPD (past)

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

• Providence Health & Services Oregon

  • General Acute Care Hospital
  • Milwaukie, OR
  • NPI 1366536963
  Care Compare affiliation

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689639841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672103",
            "telephone_number": "503-905-2526",
            "fax_number": "503-905-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672103",
            "telephone_number": "503-905-2526",
            "fax_number": "503-905-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWALL",
        "first_name": "MARCUS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO23052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Cordell, M.S., CCC-SLP
• Maria Leah Cordova, OTR/L
• Barbara M Corkrean, LPC, CADCIII
• Tony J Cornejo Sr., COTAL
• Cornerstone Clinical Services PC
• Lora W Coronel, R.PH
• Briana Correa
• Julie Cortez, PHYSICAL THERAPIST
• Roxana Cortez
• Mary Cosentino-Cathey, LCSW

• Family Medicine Physician in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.