CORNERSTONE HEALTH CARE PA (NPI# 1275914046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275914046 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE HEALTH CARE PA |
| Practice Address |
218 Old Mocksville Rd Statesville NC 28625-1930 |
| Mailing Address |
Po Box 603086 Charlotte NC 28260-3086 |
| Practice Telephone | 7048387125 |
| Practice Fax Number | 7048731352 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Authorized Official Name | ANNE HILL (BUSINESS SERVICES OPERATIONS OFFICE) |
| Authorized Official Telephone | 3368022536 |
| Authorized Official Credential | MBA, FACMPE, PCM |
| Is Organization Subpart | Y |
| Parent Organization Name | CCCS - STATESVILLE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001125 | Cornerstone Health Care Pa | Podiatrist | 197 Stadium Oaks Dr, Suite A, Clemmons, NC 27012-8962 | 2013-09-30 |
| 1659716678 | Cornerstone Health Care Pa | Internal Medicine | 1219 Lexington Avenue, Suite C, Thomasville, NC 27360-2784 | 2013-05-03 |
| 1710276027 | Cornerstone Health Care Pa | Family Medicine | 6329 Unity St, Ste I, Thomasville, NC 27360-7186 | 2011-04-07 |
| 1598096034 | Cornerstone Health Care Pa | Psychiatry & Neurology | 152 East Kinderton Way, Suite 101, Advance, NC 27006-7350 | 2010-01-22 |
| 1063805281 | Cornerstone Health Care Pa | Non-Pharmacy Dispensing Site | 4431 Us Highway 220 N, Summerfield, NC 27358-9411 | 2015-03-12 |
| 1083004725 | Cornerstone Health Care Pa | Internal Medicine | 810 N Lindsay St, High Point, NC 27262-3902 | 2015-02-03 |
| 1891185534 | Cornerstone Health Care Pa | Internal Medicine | 302 Westwood Ave, High Point, NC 27262-4324 | 2015-02-03 |
| 1447648571 | Cornerstone Health Care Pa | Non-Pharmacy Dispensing Site | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2014-12-23 |
| 1790183358 | Cornerstone Health Care Pa | Non-Pharmacy Dispensing Site | 10188 N Main St, Archdale, NC 27263-2906 | 2014-12-15 |
| 1770981342 | Cornerstone Health Care Pa | Non-Pharmacy Dispensing Site | 4515 Premier Dr, Suite 204, High Point, NC 27265-8357 | 2014-12-15 |
| Street Address |
218 OLD MOCKSVILLE RD |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811967011 | Elisabeth M Robertson | Anesthesiology | 218 Old Mocksville Rd, Anesthesia Dept, Statesville, NC 28625-1930 | 2006-01-23 |
| 1649806936 | Amanda Haymore Coble | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2020-03-18 |
| 1437708583 | Ashley Nicole Hollifield | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2019-09-10 |
| 1649636085 | Regional Physicians LLC | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2016-01-14 |
| 1760854210 | Sarah Cochran Barker | Nurse Practitioner | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2015-10-23 |
| 1356710032 | Iredell County Group Services, Pllc | Hospitalist | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2015-09-23 |
| 1184060717 | Statesville Hma Medical Group LLC | Surgery | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-05-22 |
| 1194168161 | Andrew Venters Owens | Psychiatry & Neurology | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-04-09 |
| 1376881904 | Thierry Mitchel Mallet | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2013-01-16 |
| 1063766426 | Scott M Rhodes | Physical Therapist | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2012-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306081302 | Novant Medical Group, Inc. | Internal Medicine | 349 Brookdale Dr, Statesville, NC 28677-4103 | 2008-12-05 |
| 1669464160 | Keith A Gatlin | Internal Medicine | 766 Hartness Rd, Statesville, NC 28677-3425 | 2005-08-19 |
| 1366434862 | Ray I Georgeson | Internal Medicine | 633 Brookdale Dr Ste 100, Statesville, NC 28677-3471 | 2005-08-19 |
| 1235121997 | John J. Allan | Internal Medicine | 1424 Fern Creek Dr, Suite D, Statesville, NC 28625-9376 | 2005-08-18 |
| 1649636085 | Regional Physicians LLC | Internal Medicine | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2016-01-14 |
| 1497031314 | Statesville Hma Medical Group, LLC | Internal Medicine | 349 Brookdale Dr, Statesville, NC 28677-4103 | 2011-10-24 |
| 1235410960 | Iredell Physician Network LLC | Internal Medicine | 738 Bryant St Ste A, Statesville, NC 28677-4189 | 2011-09-08 |
| 1114032398 | James Hedrick Bradford | Internal Medicine | 738 Bryant St, Suite A, Statesville, NC 28677-4189 | 2006-08-20 |
| 1932214137 | Naim Ezzat Bouhussein | Internal Medicine | 738 Bryant St, Suite A, Statesville, NC 28677-4189 | 2006-08-20 |
| 1558476606 | Statesville Cardiovascular Clinic Pa | Internal Medicine | 738 Bryant St, Suite A, Statesville, NC 28677-4189 | 2006-08-20 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.