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Active NPI 1912660440 Individual Practitioner Male Practitioner

Edgar D Cornejo , PHYSICIAN ASSISTANT

Physician Assistant • Goodyear, AZ

Professional Overview & Biography Verified Profile Summary

Edgar Cornejo, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Goodyear, AZ. Practice services are available at 14175 W INDIAN SCHOOL RD STE B4-120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14175 W Indian School Rd Ste B4-120

Goodyear, AZ 853958407

Telephone 9562227774

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Goodyear, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
55 Specialists

Practicing in Goodyear, AZ (3711 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PR 1100-P.A.

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 11, 2022

Registered at 14175 W INDIAN SCHOOL RD STE B4-120, GOODYEAR, AZ 853958407 (Tel: 9562227774)

NPI Profile Active October 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2021

Registered at 515 N 18TH ST, PHOENIX, AZ 850063726 (Tel: 6024700021)

📍
Updated Business Mailing Address October 21, 2021

Registered at 14175 W INDIAN SCHOOL RD STE B4-120, GOODYEAR, AZ 853958407 (Tel: 9562227774)

👤
Provider Name / Credentials Updated October 21, 2021

Recorded as EDGAR CORNEJO, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2021

Physician Assistant (License #1100-P.A. in PR)

🟢
Initial NPI Registration & Enumeration October 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912660440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2021
Last Update: January 11, 2022
Sole Proprietor: No

Mailing Address

14175 W Indian School Rd Ste B4-120

Goodyear, AZ 853958407

Phone: 9562227774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.