NPIMap

Organization Active NPI

Cornerstone Integrated Healthcare

  • General Practice Physician
  • North Port, FL
National Provider Identifier
1508221201
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CORNERSTONE INTEGRATED HEALTHCARE
Practice address
13355 Tamiami TRL
Suite E
North Port, FL 34287-2186
Phone
(941) 426-1235
Fax
(941) 426-4464
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Jeffre Price, D.C.NPI 1437118585
Title
Owner
Phone
(941) 426-1235

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

13355 Tamiami TRL
Suite E
North Port, FL 34287-2186

Mailing address

13355 Tamiami TRL
Suite E
North Port, FL 34287-2186
Phone (941) 426-1235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170110000851 FL Part B Supplier - Clinic/Group Practice 0345521183 Receives reassigned benefits from 4 practitioners
Practice locations: North Port, FL
O20170519001873 FL DME Supplier - Physician - General Practice 0345521183 Practice locations: North Port, FL

National Provider Directory

National Provider Directory

Locations

13355 Tamiami Trl
North Port, FL 34287
Phone (941) 426-1235

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1508221201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13355 TAMIAMI TRL",
            "address_2": "SUITE E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872186",
            "telephone_number": "941-426-1235",
            "fax_number": "941-426-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13355 TAMIAMI TRL",
            "address_2": "SUITE E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872186",
            "telephone_number": "941-426-1235",
            "fax_number": "941-426-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE INTEGRATED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JEFFRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-426-1235",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.

Verify at the official NPI Registry.