Organization Active NPI

Cornerstone Health Care Inc

  • Family Medicine Physician
  • Belpre, OH
National Provider Identifier
1750439204
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1390252 Issued in OH
Legal business name
CORNERSTONE HEALTH CARE INC
Practice address
204 Stone Rd
Belpre, OH 45714-2348
Phone
(740) 423-5535
Fax
(740) 423-5254
NPI assigned
Jan 8, 2007
Last updated
Apr 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Vicki L Lyons
Title
Office Manager
Phone
(740) 423-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1390252 OH Primary

Addresses

Primary practice location

204 Stone Rd
Belpre, OH 45714-2348

Mailing address

204 Stone Rd
Belpre, OH 45714-2348
Phone (740) 423-5535

Other identifiers 4

IdentifierTypeStateIssuer
0010309000MedicaidWV
001710673OtherBLUE CROSS BLUE SHIELD
CN4410OtherRAILROAD MEDICARE GROUP NUMBER
2002102MedicaidOH

National Provider Directory

National Provider Directory

Locations

204 Stone Rd
Belpre, OH 45714
Phone (614) 423-5535

1907 Ann St
Parkersburg, WV 26101
Phone (304) 424-4205

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1750439204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 STONE RD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142348",
            "telephone_number": "740-423-5535",
            "fax_number": "740-423-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 STONE RD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142348",
            "telephone_number": "740-423-5535",
            "fax_number": "740-423-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-423-5535"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "1390252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010309000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001710673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "CN4410",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.