Jonathan Philip Cornelius
Orthopaedic Surgery

Address: 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102
Phone: 6155476700

Jonathan Philip Cornelius (NPI# 1285843896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1285843896
Entity Type Individual
Full Name Jonathan Philip Cornelius
Credential MD
Gender Male
Practice Address 100 Physicians Way
Suite 110
Lebanon
TN 37090-8102
Practice Telephone 6155476700
Practice Fax Number 6155476707
Mailing Address Po Box 370
Fortson
GA 31808-0370
Mailing Telephone 7063246661
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-05-21
Last Update Date 2018-09-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207XX0005X Orthopaedic Surgery · Sports Medicine Allopathic & Osteopathic Physicians 44463 TN
Yes 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians 44463 TN

Other Provider Identifier

State Identifier Issuer Type Code
TN 1513462 MEDICAID

Physician Overview

NPI 1285843896
PAC ID by PECOS 7517018039
Professional Enrollment ID I20090623000780
Full Name Jonathan P Cornelius
Organization Legal Name PREMIER ORTHOPAEDICS AND SPORTS MEDICINE PLC
Phone Number 6158344482
Gender M
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 9032023320
Number of Group Practice Members 38
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440193 TENNOVA HEALTHCARE-LEBANON
440150 TRISTAR SUMMIT MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 100%
PQRS_EP_131_1 Pain Assessment and Follow-Up 100%
PQRS_EP_154_1 Falls: Risk Assessment 100%
PQRS_EP_155_1 Falls: Plan of Care 100%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%
PQRS_EP_23_1 Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) 100%

Office Location

Street Address 100 PHYSICIANS WAY
SUITE 110
City LEBANON
State TN
Zip Code 37090-8102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679574180 Ann Marie Beadle Nurse Practitioner 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 2005-08-09
1982059317 Lydia Moore Nurse Practitioner 100 Physicians Way, Suite 300, Lebanon, TN 37090-8102 2016-05-04
1962809129 Premier Orthopaedics & Sports Medicine, Plc Durable Medical Equipment & Medical Supplies 100 Physicians Way, Suite 120, Lebanon, TN 37090-8102 2014-12-03
1043615644 Kristina Moore Physician Assistant 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 2014-10-27
1386073674 Stacey Atkins Nurse Practitioner 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 2013-11-06
1437584299 Premier Orthopaedics & Sports Medicine, Plc Durable Medical Equipment & Medical Supplies 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 2013-09-11
1538407127 Casey Paige Lewis Pharmacist 100 Physicians Way, Lebanon, TN 37090-8102 2013-01-16
1134471725 Uap Lebanon Endo, LLC Nurse Anesthetist, Certified Registered 100 Physicians Way, Ste 340, Lebanon, TN 37090-8102 2012-10-08
1467737999 Janet Daily Nurse Practitioner 100 Physicians Way, Suite 330, Lebanon, TN 37090-8102 2011-10-16
1023327814 Kristy M Blaney Nurse Practitioner 100 Physicians Way, Suite 250, Lebanon, TN 37090-8102 2010-09-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376926840 Kathryn Mccloud Physical Therapist 163 Business Park Drive, Lebanon, TN 37090 2015-07-02
1811380926 Samantha Smith Nurse Practitioner 101 Physicians Way Ste 111, Lebanon, TN 37090 2015-03-13
1760575831 Ronald Scott Forczek Respiratory Therapist, Certified 8265 Trousdale Ferry Pike, Lebanon, TN 37090 2006-10-02
1285103689 Jessica A Barron Dermatology 107 Glidepath Way, Lebanon, TN 37090 2018-11-15
1811109614 Susan Anissa Hatcher Occupational Therapy Assistant 2215 Callis Rd, Lebanon, TN 37090 2007-05-04
1326030156 Tennessee Orthopedics, P.C. Orthopaedic Surgery 101 Physicians Way, Ste. 111, Lebanon, TN 37090 2005-08-18
1649271206 Roy C. Terry Orthopaedic Surgery 101 Physicians Way, Ste. 111, Lebanon, TN 37090 2005-08-04
1154686673 Stephanie Ruckman Nurse Practitioner 115 Moriah Dr, Lebanon, TN 37090-0731 2012-07-10
1801939798 Prospect, Inc. In Home Supportive Care 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 2007-02-14
1093262743 Prospect, Incorporated Day Training, Developmentally Disabled Services 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 2016-09-09
Find all providers in zip 37090

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750607131 Timothy Joseph Lin Orthopaedic Surgery 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 2010-04-11
1518029388 Regional Orthopedic Associates, P.C. Orthopaedic Surgery 410 Cumberland Street, Lebanon, PA 17042-1704 2006-12-15
1205946449 Jeffrey J. Mutchler Orthopaedic Surgery 331 Hospital Dr Ste A, Lebanon, MO 65536-9251 2006-08-30
1417900598 William C. Robertson Jr. Orthopaedic Surgery 55 Twin Oaks Ave, Suite D-5, Lebanon, OR 97355-2864 2006-05-18
1184683179 Petty Orthopaedics PC Orthopaedic Surgery 1616 W. Main St., Suite 300, Lebanon, TN 37087 2006-03-20
1861460958 Terrance C Devlin Orthopaedic Surgery 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 2006-03-14
1851367015 Lance O Yarus Orthopaedic Surgery 410-12 Cumberland St, Lebanon, PA 17042-5314 2006-02-27
1952388712 Leonard M. Rudolf Orthopaedic Surgery 17 Alice Peck Day Dr Unit C, Lebanon, NH 03766-2684 2005-12-22
1487639415 John E Garber Orthopaedic Surgery 2705 N Lebanon St Ste 220, Lebanon, IN 46052-8622 2005-12-13
1700242682 Orthopedic Assoc of Lancaster Ltd Orthopaedic Surgery 1701 Cornwall Rd, Suite 200, Lebanon, PA 17042-7480 2016-01-08
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 37090

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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