Individual provider Active NPI

John E Cornell, MD

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1811958820
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20419 Issued in WV
Practice address
1600 Medical Center Dr Ste G500
Huntington, WV 25701-3659
Phone
(304) 691-1787
NPI assigned
Mar 29, 2006
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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 20419 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste G500
Huntington, WV 25701-3659

Mailing address

1600 Medical Center Dr Ste B500
Huntington, WV 25701-3655

Other identifiers 4

IdentifierTypeStateIssuer
2325700MedicaidOH
64051147OtherKYKY MEDICAID FOR CABELL HUNTINGTON HOSPITAL
1812148000MedicaidWV
64051147MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.cornell@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20051228000451 WV Practitioner - Family Practice 4981626322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2200

1600 Medical Ctr Dr
Huntington, WV 25701-3655

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Jul 1, 2002 Accepting new patients
University Physicians & Surgeons, Inc Family Medicine CurrentSince Jul 1, 2002 Accepting new patients
Collaborative Geriatrics, Inc. Family Medicine Past Accepting new patients

Locations

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

1600 Medical Center Dr
Huntington, WV 25701
Phone (304) 691-1100

1 Bradley Foster Dr
Huntington, WV 25701
Phone (304) 522-2232

1249 15th St
Ste 4093
Huntington, WV 25701
Phone (304) 691-8714

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1600 Medical Center Dr
Ste G500
Huntington, WV 25701
Phone (304) 691-1262

1600 Medical Center Dr
Ste B500
Huntington, WV 25701
Phone (304) 691-1787

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1811958820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE B500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE G500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013659",
            "telephone_number": "304-691-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-01-18",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2325700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID FOR CABELL HUNTINGTON HOSPITAL",
            "identifier": "64051147",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1812148000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64051147",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.cornell@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste G500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.