Organization Active NPI

Cornerstone Integrated Healthcare, LLC

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1215282272
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-33114 Issued in KS
Legal business name
CORNERSTONE INTEGRATED HEALTHCARE, LLC
Practice address
11542 W 95TH St
Overland Park, KS 66214-1865
Phone
(913) 284-6769
NPI assigned
Jul 16, 2012
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. Sean BenningtonNPI 1124285622
Title
Owner
Phone
(913) 284-6769

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-33114 KS Primary

Addresses

Primary practice location

11542 W 95TH St
Overland Park, KS 66214-1865

Mailing address

11542 W 95TH St
Overland Park, KS 66214-1865
Phone (913) 284-6769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1215282272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11542 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141865",
            "telephone_number": "913-284-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11542 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141865",
            "telephone_number": "913-284-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE INTEGRATED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "BENNINGTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-284-6769",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-33114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.