Active NPI
Cornerstone General Surgery Clinic Inc
- Surgery Physician
- Guntersville, AL
National Provider Identifier
1366870362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26404
- Legal business name
- CORNERSTONE GENERAL SURGERY CLINIC INC
- Practice address
- 1939 Patterson St Ste 102
Guntersville, AL 35976-2017 - Phone
- (225) 930-0060
- Fax
- (225) 952-9075
- NPI assigned
- Oct 29, 2013
- 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
- Mr. Keith Monk
- Title
- President
- Phone
- (225) 930-0060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26404 | AL | Primary |
Addresses
Primary practice location
1939 Patterson St Ste 102
Guntersville, AL 35976-2017
Mailing address
PO Box 14149
Baton Rouge, LA 70898-4149
Phone (225) 930-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154531 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Guntersville, AL
- NPI 1437780483
-
- Surgery Physician
- Guntersville, AL
- NPI 1194948208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400457600000",
"number": "1366870362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14149",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708984149",
"telephone_number": "225-930-0060",
"fax_number": "225-952-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 PATTERSON ST STE 102",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359762017",
"telephone_number": "225-930-0060",
"fax_number": "225-952-9075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE GENERAL SURGERY CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2014-05-19",
"status": "A",
"authorized_official_last_name": "MONK",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-930-0060",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AL",
"license": "26404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154531",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guntersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.