Organization Active NPI

Cornerstone Sports and Orthopaedic Surgery of Winchester PC

  • Orthopaedic Surgery Physician
  • Winchester, VA
National Provider Identifier
1376821819
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CORNERSTONE SPORTS AND ORTHOPAEDIC SURGERY OF WINCHESTER PC
Practice address
650 Cedar Creek Grade
Suite 213
Winchester, VA 22601-6454
Phone
(540) 323-7463
Fax
(540) 323-7459
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Douglas D Duncan, MD
Title
Owner/Director
Phone
(540) 532-6712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X VA Primary

Addresses

Primary practice location

650 Cedar Creek Grade
Suite 213
Winchester, VA 22601-6454

Mailing address

650 Cedar Creek Grade
Suite 213
Winchester, VA 22601-6454
Phone (540) 323-7463

Other identifiers 2

IdentifierTypeStateIssuer
3810021008MedicaidWV
1376821819MedicaidVA

National Provider Directory

National Provider Directory

Locations

650 Cedar Creek Grade
Ste 213
Winchester, VA 22601
Phone (540) 323-7463

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1376821819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE",
            "address_2": "SUITE 213",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016454",
            "telephone_number": "540-323-7463",
            "fax_number": "540-323-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CEDAR CREEK GRADE",
            "address_2": "SUITE 213",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016454",
            "telephone_number": "540-323-7463",
            "fax_number": "540-323-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SPORTS AND ORTHOPAEDIC SURGERY OF WINCHESTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "540-532-6712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021008",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376821819",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.