Cornerstone Health Care, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CORNERSTONE HEALTH CARE, PA

Doing business as

Dale Williams Vascular Medicine/Wound Care Specialist

Practice address

1814 Westchester Drive
Suite 301
High Point, NC 27262-7369

Phone

(336) 802-2280

Fax

(336) 802-2281

NPI assigned

Sep 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy P Beck

Title

Billing Administrator

Phone

(336) 802-2440

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dale Williams Vascular Medicine/Wound Care Specialist Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1053620005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DRIVE",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627254",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WESTCHESTER DRIVE",
            "address_2": "SUITE 301",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627369",
            "telephone_number": "336-802-2280",
            "fax_number": "336-802-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "336-802-2440"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915811",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB8658",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dale Williams Vascular Medicine/Wound Care Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Health Care, LLC
• Cornerstone Health Care, LLC
• Cornerstone Health Care, LLC
• Cornerstone Health Care, LLC
• Cornerstone Health Care, LLC
• Cornerstone Health Care, PA
• Cornerstone Health Care, PA
• Cornerstone Health Care, PA
• Cornerstone Health Care, PA
• Cornerstone Health Care, PA

• Surgery Physician in High Point, NC
• Providers in High Point, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.