Dr Santiago M Cornejo, MD | |
350 W Thomas Rd, Phoenix, AZ 85013 | |
(602) 406-3874 | |
(602) 406-2335 |
Full Name | Dr Santiago M Cornejo |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 18 Years |
Location | 350 W Thomas Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265661896 | NPI | - | NPPES |
825984 | Medicaid | AZ | |
R71384 | Other | AZ | TRAINING PERMIT |
46120 | Other | AZ | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 46120 (Arizona) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | R71384 (Arizona) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St. Joseph's Hospital And Medical Center | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arizona Urology Specialists Pllc | 5092863852 | 71 |
Entity Name | Sjhmc Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
Entity Name | Advanced Foot & Ankle Specialists Of Arizona Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962516674 PECOS PAC ID: 9830176940 Enrollment ID: O20040706001178 |
Entity Name | Arizona Urology Specialists Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740426485 PECOS PAC ID: 5092863852 Enrollment ID: O20090505000105 |
Entity Name | District Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20091209000071 |
Mailing Address | Practice Location Address |
---|---|
Dr Santiago M Cornejo, MD 3030 N Central Ave Ste 1001, Phoenix, AZ 85012-2716 Ph: (602) 406-4786 | Dr Santiago M Cornejo, MD 350 W Thomas Rd, Phoenix, AZ 85013 Ph: (602) 406-3874 |
Donald A Tobias, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 97 Biltmore Est, Phoenix, AZ 85016 Phone: 602-956-3209 | |
Daniel Fosu, Radiology Medicare: Not Enrolled in Medicare Practice Location: 16220 N 7th St Apt 2136, Phoenix, AZ 85022 Phone: 480-469-0283 | |
Sanford Ornstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-4058 | |
Dr. Abhilash P Nambiar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 120, Phoenix, AZ 85028 Phone: 602-441-3845 | |
Dr. Tilina N. Hu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Radiology Department, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 | |
Alicia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Joel James Hayden, MD Radiology Medicare: Medicare Enrolled Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 |