Active NPI
Cornerstone Health Care, PA
Doing business as R. Van Fletcher, MD
- Gynecology Physician
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- CORNERSTONE HEALTH CARE, PA
- Doing business as
- R. Van Fletcher, MD
- Practice address
- 721 N Elm St
Suite 102
High Point, NC 27262-3928 - Phone
- (336) 802-2010
- Fax
- (336) 802-2011
- NPI assigned
- Mar 13, 2007
- Last updated
- Nov 16, 2012
- 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
- Grace E Terrell
- Title
- President / Ceo
- Phone
- (336) 802-2400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
721 N Elm St
Suite 102
High Point, NC 27262-3928
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2536
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890246R | Medicaid | NC | |
| CC4241 | Other | NC | RR MEDICARE |
| CC4242 | Other | NC | RR MEDICARE |
| CD6614 | Other | NC | RR MEDICARE |
| 22742 | Other | MEDCOST | |
| 7100720 | Other | AETNA | |
| CC4243 | Other | NC | RR MEDICARE |
| 0246R | Other | NC | BCBS |
| CC5472 | Other | NC | RRMC |
| CC6608 | Other | NC | RR MEDICARE |
| D266 | Other | NC | PARTNERS MEDICARE CHOICE |
| 269374 | Other | MAMSI | |
| CB8658 | Other | NC | RR MEDICARE |
| CF9200 | Other | NC | RR MEDICARE |
Other names 1
- R. Van Fletcher, MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000868 | NC | Part B Supplier - Clinic/Group Practice | 4183538895 |
Receives reassigned benefits from 690 practitioners This NPI is an additional NPI on the enrollment Practice locations: High Point, NC; Jefferson, NC; Jonesville, NC; Kernersville, NC; Summerfield, NC; Thomasville, NC; Winston Salem, NC; Archdale, NC… |
National Provider Directory
National Provider DirectoryLocations
1814 Westchester Dr
Ste 301
High Point, NC 27262
Phone (336) 802-2025
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Internal Medicine Physician
- High Point, NC
- NPI 1598795478
-
- Family Medicine Physician
- Mayodan, NC
- NPI 1093060360
-
- Gastroenterology Physician
- High Point, NC
- NPI 1780604363
-
- Internal Medicine Physician
- Burlington, NC
- NPI 1346237617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353024000000",
"number": "1275666125",
"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": "336-802-2536",
"fax_number": "336-802-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N ELM ST",
"address_2": "SUITE 102",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623928",
"telephone_number": "336-802-2010",
"fax_number": "336-802-2011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2012-11-16",
"status": "A",
"authorized_official_last_name": "TERRELL",
"authorized_official_first_name": "GRACE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "336-802-2400"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890246R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4241",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4242",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CD6614",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "22742",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7100720",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4243",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0246R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "CC5472",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC6608",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE CHOICE",
"identifier": "D266",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "269374",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CB8658",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CF9200",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "R. Van Fletcher, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in High Point, NC
- Cornerstone Health Care, PA (High Point OB-Gyn Associates)
- Cornerstone Health Care, PA (Cornerstone Surgery at Premier)
- Cornerstone Health Care, PA (Cornerstone Internal Medicine at Pennybyrn)
- Cornerstone Health Care, PA (Cornerstone Behavioral Medicine at CCAR)
- Cornerstone Health Care, PA (Cornerstone Critical Care)
- Cornerstone Health Care, PA (Cornerstone Inpatient Services)
- Cornerstone Health Care, PA (High Point Orthopaedic & Sports Medicine)
- Cornerstone Health Care, PA (Cornerstone Behavioral Medicine at Premier)
- Cornerstone Health Care, PA (Piedmont Urological Associates)
- Cornerstone Health Care, PA (Cornerstone Infusion Center at Premier)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.