Jean Marie Cornell, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

50961-020 Issued in WI

Practice address

3365 S 103Rd St Ste 100
Milwaukee, WI 53227-4108

Phone

(414) 321-3951

Fax

(414) 321-8307

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jcornell7782@direct.chw.org

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.

• Children'S Medical Group

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1932397585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 E BEAUMONT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532174812",
            "telephone_number": "414-763-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 S 103RD ST STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532274108",
            "telephone_number": "414-321-3951",
            "fax_number": "414-321-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "50961-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48367",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Robert Corman
• Cornea Consultant, S.C.
• Corneila M. Riedl, M.D., S.C.
• Ann E Cornell, MD
• Carly Cornell
• Cornerstone Housing Services LLC
• Michelle M. Cornette, PH.D.
• Toby Charles Cornish, M.D., PH.D.
• Corr Health Wi, SC
• Ariana Corral, MSW

• Pediatrics Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.