Active NPI
Cornerstone Healthcare Group Holding Inc
- Internal Medicine Physician
- Muskogee, OK
National Provider Identifier
1295357804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CORNERSTONE HEALTHCARE GROUP HOLDING INC
- Practice address
- 351 S 40TH St
Muskogee, OK 74401-4916 - Phone
- (918) 682-6161
- NPI assigned
- May 18, 2020
- 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
- Kurt J. Schultz
- Title
- Cfo
- Phone
- (469) 621-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
351 S 40TH St
Muskogee, OK 74401-4916
Mailing address
2200 Ross Ave Ste 5400
Dallas, TX 75201-7918
Phone (469) 621-6700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1295357804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 ROSS AVE STE 5400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752017918",
"telephone_number": "469-621-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S 40TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014916",
"telephone_number": "918-682-6161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTHCARE GROUP HOLDING INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "469-621-6700"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.