Individual provider · Type 1 NPI

Blaine Michael Cornelius, P.A.

Physician Assistant · Gothenburg, NE

NPI number 1811941404 Active

Practice location

619 10th St
Gothenburg, NE 69138-2063

Fax (308) 537-3675

Mailing address

PO Box 389
Gothenburg, NE 69138-0389

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1251 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1811941404

Blaine Michael Cornelius, P.A.'s National Provider Identifier is 1811941404, issued on May 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gothenburg, NE. The record was last updated on Jan 31, 2013.