Cornerstone Family Health, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CORNERSTONE FAMILY HEALTH, PC

Practice address

1205 Grampian Blvd
Suite 3
Williamsport, PA 17701-1978

Phone

(570) 326-4118

Fax

(570) 326-5533

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 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

Dr. James Redka, M.D.NPI 1548240773

Title

President

Phone

(570) 326-4118

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• James Wilson Redka, M.D.

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1548240773
  Authorized official Same address or phone
• Twila Charles, ACSW

  • Social Worker
  • Williamsport, PA
  • NPI 1497725279
  NPD (past)
• Kathy Shull, PA-C

  • Physician Assistant
  • Danville, PA
  • NPI 1114134129
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144344201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 GRAMPIAN BLVD",
            "address_2": "SUITE 3",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011978",
            "telephone_number": "570-326-4118",
            "fax_number": "570-326-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 GRAMPIAN BLVD",
            "address_2": "SUITE 3",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011978",
            "telephone_number": "570-326-4118",
            "fax_number": "570-326-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDKA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-326-4118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Edward Cooper, CRNP
• Elizabeth Cooper
• Jeniece Alison Cooper, MD
• Cornelius Hearing Aid Center
• Cornerstone Caregiving East LLC
• Cornerstone Family Health, PC
• Joseph L Costa, CRNP
• Brenna Elizabeth Cotner, RBT
• David Cousins, MD
• Christopher David Coyner, DDS

• Clinical Medical Laboratory in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.