Cornerstone Clinics

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

35.127057 Issued in OH

Legal business name

CORNERSTONE CLINICS

Practice address

802 Clare Ave Ste 101
Portsmouth, OH 45662-2583

Phone

(740) 414-0111

NPI assigned

Jul 11, 2017

Last updated

Jul 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Madu

Title

Nurse Practitioner

Phone

(740) 414-0111

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1639691629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CLARE AVE STE 101",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CLARE AVE STE 101",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622583",
            "telephone_number": "740-414-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "MADU",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "740-414-0111"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.088677",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.127057",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Renee Coppock, STNA
• Jessica Dawn Coriell, LISW-S
• Jonathan Coriell
• Raymond Francis Coriell, PT
• Jennifer Cornell, RN
• Zachariah William Cornette, CDCA, QMHS
• Sarah Marie Corns
• Tiffany Cortez, CDCA
• Rachael L Cottrill, APRN, PMHNP-BC
• Karissa Couch, FNP-BC

• Addiction Medicine (Internal Medicine) Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Addiction Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.