DR. LAINE MONTGOMERY CORNELISON MD NPI 1972762995

Family Medicine in Frederick, MD

NPI 1972762995 Individual Female Years of Experience 14 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About LAINE MONTGOMERY CORNELISON

Laine Montgomery Cornelison is a primary care provider established in Frederick, Maryland and her medical specialization is family medicine with more than 14 years of experience. She graduated from George Washington University School Of Medicine in 2008. The NPI number of Laine Montgomery Cornelison is 1972762995 and was assigned on June 2008. The practitioner's primary taxonomy code is 207Q00000X with license number D72798 (MD). The provider is registered as an individual and her NPI record was last updated June 2021.

A primary care provider (PCP) like Dr. Laine Montgomery Cornelison Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Laine Montgomery Cornelison is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Laine Montgomery Cornelison is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1972762995

Provider NameDR. LAINE MONTGOMERY CORNELISON MD
Provider Location Address7190 CRESTWOOD BLVD KAISER PERMANENTE FREDERICK MEDICAL CENTER FREDERICK, MD 21703
Provider Mailing Address2101 E JEFFERSON ST KAISER PERMANENTE MEDICARE ENROLLMENT ROCKVILLE, MD 20852
GenderFemale
NPI Entity TypeIndividual
Medical School NameGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2008
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-05-2008
Last Update Date06-21-2021


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.D72798
License StateMD
Taxonomy DescriptionFamily 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.

Business Address

DR. LAINE MONTGOMERY CORNELISON MD
7190 CRESTWOOD BLVD
KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD
ZIP 21703
Phone: (240) 529-1700

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Mailing Address

DR. LAINE MONTGOMERY CORNELISON MD
2101 E JEFFERSON ST
KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
ZIP 20852
Phone: (301) 816-2424



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineMD040239DCNo

Taxonomy Description: 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.

2207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine0101249806VANo

Taxonomy Description: 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.

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003008830MS. PAULA GRACE LCSW C
Individual
Social Worker (Clinical)7190 CRESTWOOD BLVD KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
(240) 529-1700
1972844702 DIANA ERIN MCDERMOTT PHARM. D
Individual
Pharmacist7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1800
1760723555 ANN LOUISE HALLOCK RPH
Individual
Pharmacist7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1800
1609010271DR. SOKPHEARY SRORN M.D.
Individual
Family Medicine7190 CRESTWOOD BLVD KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
(800) 777-7904
1245573427 SARAH KANG-PAK
Individual
Pharmacist7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1800
1437272150MRS. KIMBERLY DAWN WAGNER PHARM.D.
Individual
Pharmacist7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1800
1477618502KAISER PERMANENTE FREDERICK MED CTR
Organization
Pharmacy (Managed Care Organization Pharmacy)7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1800
1194868422KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Organization
Pharmacy (Managed Care Organization Pharmacy)7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1800
1407999527KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Organization
Clinical Medical Laboratory7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1775
1548347065DR. SUSAN K LOVICH MD
Individual
Pediatrics7190 CRESTWOOD BLVD KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
(240) 529-1700
1932326709 ADEDOYIN SHONEKAN M.D.
Individual
Obstetrics & Gynecology7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1700
1700237534 SEAN DAVID BOURNE MD
Individual
Family Medicine7190 CRESTWOOD BLVD
FREDERICK, MD 21703
(240) 529-1700

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.