JUAN A. CORNEJO MD – NPI #1154374445
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JUAN CORNEJO is a physician located in LITTLE RIVER, SC. NPPES has assigned the NPI number 1154374445 to JUAN CORNEJO on May 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Mar 26, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUAN CORNEJO below.

NPI Profile for
JUAN A. CORNEJO

NPI Number
1154374445
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JUAN A. CORNEJO
Credentials
MD
Primary location
4303 LIVE OAK DRIVE
LITTLE RIVER, SC 29566
Phone: (843) 663-8000 Fax:
Mailing address
PO BOX 547
LITTLE RIVER, SC 29566
Phone: (843) 663-8000 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for JUAN CORNEJO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSC007838
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
SC 7783

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.