Cornerstone Medical Clinic PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

MC2227 Issued in AR

Legal business name

CORNERSTONE MEDICAL CLINIC PLLC

Practice address

825 N Main St.
Harrison, AR 72601

Phone

(870) 743-4900

Fax

(870) 743-4949

NPI assigned

May 17, 2006

Last updated

Aug 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven M Shrum, M.D.NPI 1669430286

Title

Owner

Phone

(870) 743-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven M Shrum, MD

  • Internal Medicine Physician
  • Harrison, AR
  • NPI 1669430286
  Medicare reassignment Care Compare group NPD Authorized official
• Desiree Ann Looper, CNP

  • Family Nurse Practitioner
  • Harrison, AR
  • NPI 1225658149
  Medicare reassignment Care Compare group NPD
• Leslie Brooke Kimes, CNP

  • Family Nurse Practitioner
  • Harrison, AR
  • NPI 1730803164
  Medicare reassignment NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1063464964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST.",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-743-4900",
            "fax_number": "870-743-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N MAIN ST.",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-743-4900",
            "fax_number": "870-743-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "SHRUM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-743-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AR",
            "license": "MC2227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149189002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Cope, CNP
• Shelia Corder, MHPP
• Rebecca Cordova
• Core Family Chiropractic, P.a.
• Cornerstone Medical Clinic PLLC
• Miranda Lee Cornett, MS, RD
• Timothy D Costello, MD
• Cotter Public School District
• Crystal Cotton, LCSW
• Counseling & Family Therapy Center, LLC

• Multi-Specialty Clinic/Center in Harrison, AR
• Providers in Harrison, AR by specialty
• Multi-Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.