NPIMap

Organization Active NPI

Cornerstone Clinic for Women

  • Medical Specialty Clinic/Center
  • Little Rock, AR
National Provider Identifier
1700853553
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MC0427 Issued in AR
Legal business name
CORNERSTONE CLINIC FOR WOMEN
Practice address
9500 Baptist Health Dr Ste 100
Little Rock, AR 72205-6319
Phone
(501) 224-5500
Fax
(501) 224-1166
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Benjamin A Riley
Title
Administrator
Phone
(501) 224-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MC0427 AR Primary

Addresses

Primary practice location

9500 Baptist Health Dr Ste 100
Little Rock, AR 72205-6319

Mailing address

9500 Baptist Health Dr Ste 100
Little Rock, AR 72205-6319
Phone (501) 224-5500

Other identifiers 2

IdentifierTypeStateIssuer
5409551OtherARAETNA
164172002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031119000560 AR Part B Supplier - Clinic/Group Practice 5092629352 Receives reassigned benefits from 23 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEJBD

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1700853553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BAPTIST HEALTH DR STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056319",
            "telephone_number": "501-224-5500",
            "fax_number": "501-224-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BAPTIST HEALTH DR STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056319",
            "telephone_number": "501-224-5500",
            "fax_number": "501-224-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINIC FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-224-5500"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "MC0427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5409551",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164172002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.