Active NPI
Cornerstone Health Care LLC
- Surgery Physician
- High Point, NC
National Provider Identifier
1629193032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CORNERSTONE HEALTH CARE LLC
- Doing business as
- Cornerstone Surgical Specialists
- Practice address
- 1814 Westchester Drive
Suite 101
High Point, NC 27262-7369 - Phone
- (336) 802-2150
- Fax
- (336) 802-2151
- NPI assigned
- Mar 21, 2007
- 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
- Anne C Hill
- Title
- Business Operations Officer
- Phone
- (336) 802-2400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Vascular Surgery Physician | 2086S0129X |
Addresses
Primary practice location
1814 Westchester Drive
Suite 101
High Point, NC 27262-7369
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2536
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1212660036 | Other | NC | MEDICARE DME |
| CC4241 | Other | NC | RR MEDICARE |
| CD6614 | Other | NC | RR MEDICARE |
| 1629193032 | Medicaid | NC | |
| 7463718 | Other | NC | AETNA |
| CC4243 | Other | NC | RR MEDICARE |
| D266 | Other | NC | PARTNERS |
| 50010 | Other | NC | MEDCOST |
| CB8658 | Other | NC | RR MEDICARE |
| 0246X | Other | NC | BCBS |
| 890246X | Medicaid | NC |
Other names 1
- Cornerstone Surgical Specialists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000868 | NC | Part B Supplier - Clinic/Group Practice | 4183538895 |
Receives reassigned benefits from 690 practitioners This NPI is an additional NPI on the enrollment Practice locations: High Point, NC; Jefferson, NC; Jonesville, NC; Kernersville, NC; Summerfield, NC; Thomasville, NC; Winston Salem, NC; Archdale, NC… |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Retail Pharmacy
- Winston Salem, NC
- NPI 1881460855
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464307200000",
"number": "1629193032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DRIVE",
"address_2": "SUITE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2536",
"fax_number": "336-802-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 WESTCHESTER DRIVE",
"address_2": "SUITE 101",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627369",
"telephone_number": "336-802-2150",
"fax_number": "336-802-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2016-05-27",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BUSINESS OPERATIONS OFFICER",
"authorized_official_telephone_number": "336-802-2400"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "1212660036",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4241",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CD6614",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629193032",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7463718",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4243",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "D266",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "50010",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CB8658",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0246X",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890246X",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Surgical Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.