Lynn Anne Cornelius, D.O.

Key facts

NPI

1770547820

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

OS007115L (PA)

Practice address

4 S Market St
First Floor Right Rear
Duncannon, PA 17020-1225

Phone

(717) 834-3900

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 3

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.

• Pennsylvania Department of Human Services Psychiatric Hospital · Torrance, PA · NPI 1376526111
  Medicare reassignment NPD PA
• Pennsylvania Department of Public Welfare Psychiatric Hospital · Allentown, PA · NPI 1386626919
  NPD
• Spirit Physician Services Inc. Diagnostic Radiology Physician · Camp Hill, PA · NPI 1275072662
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2011.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1770547820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MARKET ST",
            "address_2": "FIRST FLOOR RIGHT REAR",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170201225",
            "telephone_number": "717-834-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S MARKET ST",
            "address_2": "FIRST FLOOR RIGHT REAR",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170201225",
            "telephone_number": "717-834-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "LYNN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007115L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Duncannon, PA · Family Medicine Physician in Pennsylvania