NPIMap

Organization Active NPI

Cornerstone Medical Center, PA

  • Family Medicine Physician
  • Burlington, NC
National Provider Identifier
1548233182
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CORNERSTONE MEDICAL CENTER, PA
Practice address
1041 Kirkpatrick Rd
Suite 100
Burlington, NC 27215-8148
Phone
(336) 538-0565
Fax
(336) 538-0564
NPI assigned
Feb 13, 2006
Last updated
Apr 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Mae Lynette Morrisey
Title
Executive Director
Phone
(336) 538-0565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1041 Kirkpatrick Rd
Suite 100
Burlington, NC 27215-8148

Mailing address

1041 Kirkpatrick Rd
Suite 100
Burlington, NC 27215-8148
Phone (336) 538-0565

Other identifiers 1

IdentifierTypeStateIssuer
890140AMedicaidNC

National Provider Directory

National Provider Directory

Locations

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

Practitioners & affiliated clinicians

Practitioners 99

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.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1548233182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD",
            "address_2": "SUITE 100",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158148",
            "telephone_number": "336-538-0565",
            "fax_number": "336-538-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD",
            "address_2": "SUITE 100",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158148",
            "telephone_number": "336-538-0565",
            "fax_number": "336-538-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "MORRISEY",
        "authorized_official_first_name": "MAE",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-538-0565"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890140A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.