Active NPI
Cornerstone Medical, LLC
- Internal Medicine Physician
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CORNERSTONE MEDICAL, LLC
- Practice address
- 2613 S Main St Ste D
Joplin, MO 64804-2678 - Phone
- (417) 624-8730
- NPI assigned
- Sep 26, 2022
- Last updated
- Sep 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Kirk Sheppard
- Title
- Ceo
- Phone
- (417) 379-1176
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Obesity Medicine (Internal Medicine) Physician | 207RB0002X | |||
| Facial Plastic Surgery Physician | 207YS0123X | |||
| Otolaryngic Allergy Physician | 207YX0602X |
Addresses
Primary practice location
2613 S Main St Ste D
Joplin, MO 64804-2678
Mailing address
2613 S Main St Ste D
Joplin, MO 64804-2678
Phone (417) 553-7920
Other practice location 1
308 N Main St
Granby, MO 64844-8357
Phone (417) 553-7920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2308989 | Cornerstone Medical LLC | Certificate of waiver | Aug 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
308 N Main St
Granby, MO 64844
Phone (417) 553-7920
2613 S Main St
Ste D
Joplin, MO 64804
Phone (417) 553-7920
2702 Cunningham Ave
Joplin, MO 64804
2702 Cunningham Ave
Ste A
Joplin, MO 64804
Phone (417) 553-7920
Practitioners & affiliated clinicians
Practitioners 45
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.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1326099516
-
- Family Nurse Practitioner
- Joplin, MO
- NPI 1063966802
-
- Family Nurse Practitioner
- Joplin, MO
- NPI 1053645713
-
- Facial Plastic Surgery Physician
- Joplin, MO
- NPI 1154520757
-
- Internal Medicine Physician
- Joplin, MO
- NPI 1891138848
-
- Internal Medicine Physician
- Joplin, MO
- NPI 1306123286
-
- Nurse Practitioner
- Joplin, MO
- NPI 1467833871
-
- Family Medicine Physician
- Neosho, MO
- NPI 1083901821
-
- Internal Medicine Physician
- Neosho, MO
- NPI 1134741127
-
- Internal Medicine Physician
- Joplin, MO
- NPI 1700813607
-
- Clinical Psychologist
- Joplin, MO
- NPI 1689668345
-
- Clinical Psychologist
- Joplin, MO
- NPI 1043201221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1104549948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2613 S MAIN ST STE D",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042678",
"telephone_number": "417-553-7920",
"fax_number": "877-464-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2613 S MAIN ST STE D",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042678",
"telephone_number": "417-624-8730"
}
],
"practiceLocations": [
{
"address_1": "308 N Main St",
"address_purpose": "LOCATION",
"city": "Granby",
"state": "MO",
"postal_code": "648448357",
"country_code": "US",
"telephone_number": "417-553-7920",
"fax_number": "877-464-5922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CORNERSTONE MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-26",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "SHEPPARD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "KIRK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "417-379-1176"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.