Active NPI
Georgeanne Emerson Cornell, D.O.
- Dermatopathology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 2020022923
- Practice address
- 1225 S Grand Blvd
Saint Louis, MO 63104-1016 - Phone
- (314) 977-3400
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 2020022923 | MO | Primary |
Addresses
Primary practice location
1225 S Grand Blvd
Saint Louis, MO 63104-1016
Mailing address
6300 S Sabine Dr
Columbia, MO 65203-9193
Phone (573) 864-2730
Other names 1
- Mrs. Georgeanne Emerson Zitsch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4014 Leavenworth St
Omaha, NE 68105-1053
Phone (402) 552-7928
Hospital & facility affiliations
- The Nebraska Medical Center
- Montgomery County Memorial Hospital
- Myrtue Medical Center
- The Nebraska Methodist Hospital
- Bellevue Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 63 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 53 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020022923 | MO | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Multi-Specialty | Current | Accepting new patients |
Locations
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
17405 Burke St
Ste 10170
Omaha, NE 68118
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Interoperability endpoints
- gcornell1041326@direct.trinity-health.org
- gcornell523407@direct.nebraskamed.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
- Critical Access Hospital
- Red Oak, IA
- NPI 1376539338
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
- Critical Access Hospital
- Harlan, IA
- NPI 1598871469
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1811552029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 S SABINE DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652039193",
"telephone_number": "573-864-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041016",
"telephone_number": "314-977-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "GEORGEANNE",
"middle_name": "EMERSON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": "MO",
"license": "2020022923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGEANNE",
"last_name": "ZITSCH",
"middle_name": "EMERSON",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.