Cornerstone Medical Group

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

932504 Issued in MI

Legal business name

CORNERSTONE MEDICAL GROUP

Practice address

43750 Garfield Rd
Suite 104
Clinton TWP, MI 48038-1135

Phone

(586) 226-6865

Fax

(586) 226-6880

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Phil Hunsberger

Title

C.a.O.

Phone

(586) 226-6937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St John Weight Loss Institute Doing business as

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1710165089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45660 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-226-6843",
            "fax_number": "586-566-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43750 GARFIELD RD",
            "address_2": "SUITE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381135",
            "telephone_number": "586-226-6865",
            "fax_number": "586-226-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "HUNSBERGER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "C.A.O.",
        "authorized_official_telephone_number": "586-226-6937"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "932504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0N55210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St John Weight Loss Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Allen Conn, D.C.
• Jena Leigh Connell
• Deborah Lynn Conrad-Garrisi, PHD, LP, RN
• Convenient CT PC
• John Coonan, MALBSW
• Stacy L Corrado, D.C.
• Colleen Coughlin
• County of Macomb
• Craig E. Riffel, D.C., PLLC
• Michael Dywane Craig Jr., LPN

• Registered Dietitian in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.