CORNERSTONE FAMILY HEALTHCARE (NPI# 1881941169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881941169 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE FAMILY HEALTHCARE |
| Practice Address |
2082 Mesquite Ave Suite 106 Lake Havasu City AZ 86403-6710 |
| Practice Telephone | 9286804233 |
| Practice Fax Number | 9286806522 |
| Mailing Telephone | 9286804233 |
| Mailing Fax Number | 9286806522 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |
| Authorized Official Name | DR. TERESA J TIBBETTS (OWNER) |
| Authorized Official Telephone | 9286804233 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581297 | Cornerstone Family Healthcare | Clinic/Center | 290 Broadway Ste 2&3, Newburgh, NY 12550-5441 | 2020-05-29 |
| 1417571191 | Cornerstone Family Healthcare | Clinic/Center | 14 Grove St, Middletown, NY 10940-4806 | 2020-05-29 |
| 1326662008 | Cornerstone Family Healthcare | Clinic/Center | 24 Old Firehouse Road, Wallkill, NY 12589 | 2020-05-29 |
| 1558984344 | Cornerstone Family Healthcare | Clinic/Center | 35 Felters Rd, Binghamton, NY 13903-2600 | 2020-05-27 |
| 1841813623 | Cornerstone Family Healthcare | Clinic/Center | 10 Benton Ave, Middletown, NY 10940-5177 | 2020-05-27 |
| 1407479298 | Cornerstone Family Healthcare | Clinic/Center | 2 Fletcher St, Goshen, NY 10924-1402 | 2020-05-27 |
| 1831712629 | Cornerstone Family Healthcare | Clinic/Center | 140 Hammond St, Port Jervis, NY 12771-2607 | 2020-05-27 |
| 1740803535 | Cornerstone Family Healthcare | Clinic/Center | 260 N Little Tor Rd, New City, NY 10956-2627 | 2020-05-27 |
| 1720601503 | Cornerstone Family Healthcare | Clinic/Center | 127 Main St, Highland Falls, NY 10928-4019 | 2020-05-27 |
| 1912520776 | Cornerstone Family Healthcare | Clinic/Center | 91 Blooming Grove Tpke, New Windsor, NY 12553-7757 | 2020-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CORNERSTONE FAMILY HEALTHCARE | 2570 Route 9w, Cornwall, New York 12518 |
| Street Address |
2082 MESQUITE AVE SUITE 106 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700864436 | Elizabeth Anne Smith-tryon | Internal Medicine | 2082 Mesquite Ave, Ste 106, Lake Havasu City, AZ 86403-6710 | 2006-01-03 |
| 1790253318 | Cardiovascular and Thoracic Solutions | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710 | 2018-11-13 |
| 1861905416 | Kasey Cox | Nurse Practitioner | 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710 | 2017-11-06 |
| 1982123618 | Paul Andrew Mahnke | Nurse Practitioner | 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710 | 2017-09-13 |
| 1669729851 | Weiss Pediatrics Pllc | Pediatrics | 2082 Mesquite Ave, Suite A-102, Lake Havasu City, AZ 86403-6710 | 2012-08-07 |
| 1104102482 | Sego Medical Associates LLC | Internal Medicine | 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403-6710 | 2011-10-31 |
| 1790088250 | Shirley Noronha Md LLC | Internal Medicine | 2082 Mesquite Ave, Suite106, Lake Havasu City, AZ 86403-6710 | 2010-12-06 |
| 1548426489 | Arizona Family Medicine PC | Family Medicine | 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ 86403-6710 | 2008-07-30 |
| 1851553119 | Fadi Atassi | Internal Medicine | 2082 Mesquite Ave, Suite A100, Lake Havasu City, AZ 86403-6710 | 2008-06-27 |
| 1053594275 | Teresa J Tibbetts M D LLC | Family Medicine | 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ 86403-6710 | 2007-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558663781 | Thomas Eugene Long | Family Medicine | 1841 Nugget Dr, Lake Havasu City, AZ 86404-1813 | 2010-11-19 |
| 1922267905 | Edward E Rotan Md Inc | Family Medicine | 2180 Mcculloch, Suite 102, Lake Havasu City, AZ 86403-9998 | 2008-06-05 |
| 1881816718 | Thomas J Powers | Family Medicine | 1810 Mesquite Avenue, Suite A, Lake Havasu City, AZ 86403-5886 | 2007-05-02 |
| 1063553543 | Manu Lonial | Family Medicine | 1741 Mesquite Ave # 100, Lake Havasu City, AZ 86403-5695 | 2007-02-09 |
| 1932194859 | Francis Jonathan Woo | Family Medicine | 60 Riviera Dr, Lake Havasu City, AZ 86403-5716 | 2005-09-16 |
| 1164422127 | Edmund M Mitchell I | Family Medicine | 2035 Mesquite Avenue, Lake Havasu City, AZ 86403-5894 | 2005-07-29 |
| 1760093595 | Jcmd, PC | Family Medicine | 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403-5602 | 2020-08-14 |
| 1609359983 | Institute for Male Health&performance LLC | Family Medicine | 1830 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5885 | 2018-09-12 |
| 1508169616 | Havasu Primary Care, Ltd. | Family Medicine | 1830 Mesquite Ave, Suite B, Lake Havasu City, AZ 86403-5885 | 2010-12-10 |
| 1114239019 | Oasis Medical Group, LLC | Family Medicine | 2035 Mesquite Ave, Suite C, Lake Havasu City, AZ 86403-5894 | 2010-07-08 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on CORNERSTONE FAMILY HEALTHCARE.
| 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.