Active NPIIndividual provider

Martha M Cornwell, PA-C

Physician Assistant in Bennington, Vermont

NPI Number1710422951
Practice location
357 Shields Dr, Bennington, VT 05201-9810
Fax
802-442-5199
Last updated
November 20, 2020

Martha Madhu Cornwell is a Physician Assistant based in Bennington, VT. Martha Madhu Cornwell practices in Bennington, VT and has the professional credentials of PA-C. The NPI Number for Martha Madhu Cornwell is 1710422951 and holds a License No. 055.0031326 (VT). The current practice location address for Martha Madhu Cornwell is 357 Shields Dr, Bennington, VT 05201-9810 and can be reached out via phone at 802-447-1409 and via fax at 802-442-5199.

Provider Profile Details

NPI Number
1710422951
Provider Name
Martha Madhu Cornwell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
357 Shields Dr, Bennington, VT 05201-9810
Phone Number
802-447-1409
Fax Number
802-442-5199
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Madhu Martha Cornwell Khan, PA-C (Former Name)
Provider Enumeration Date
December 26, 2016
Last Update Date
November 20, 2020
Certification Date
November 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
357 Shields Dr
Bennington, VT 05201-9810
State
Vermont
Zip
05201-9810
Phone Number
802-447-1409
Fax Number
802-442-5199
Bennington, VT 05201Get directions →

Provider Business Mailing Address Details

Address
357 Shields Dr
Bennington, VT 05201-9810
City
Bennington
State
VT
Zip
05201-9810
Phone Number
802-447-1409
Fax Number
802-442-5199

License Information

License Number
055.0031326
License State
VT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Bennington, VT

View all Physician Assistants in Bennington →

Frequently Asked Questions

What is the NPI number of Martha M Cornwell, PA-C?

The NPI number of Martha M Cornwell, PA-C is 1710422951. It was assigned on December 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Martha M Cornwell, PA-C?

Martha M Cornwell, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 055.0031326.

Where does Martha M Cornwell, PA-C practice?

The practice location is 357 Shields Dr, Bennington, VT 05201-9810. The office can be reached at 802-447-1409 (phone) or 802-442-5199 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710422951 directly on the NPPES registry website.

Browse related providers