NPIMap

Organization Active NPI

Cornerstone Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Arlington, TX
National Provider Identifier
1780810259
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
L6619 Issued in TX
Legal business name
CORNERSTONE PAIN MANAGEMENT
Practice address
501 N. Rita LN
Suite 101
Arlington, TX 76014
Phone
(817) 419-9108
Fax
(817) 419-3336
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Winfred Sardar, MD
Title
MD
Phone
(817) 419-9108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X L6619 TX
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X L6619 TX Primary

Addresses

Primary practice location

501 N. Rita LN
Suite 101
Arlington, TX 76014

Mailing address

PO Box 837
Howe, TX 75459-0837
Phone (817) 419-9108

Other identifiers 1

IdentifierTypeStateIssuer
210824301MedicaidTX

Other names 1

  • Cornerstone Pain Management Doing business as

National Provider Directory

National Provider Directory

Locations

801 E Debbie Ln
Ste 103
Mansfield, TX 76063
Phone (817) 419-9048

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4684/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1780810259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "817-419-9108",
            "fax_number": "817-419-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N. RITA LN",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-419-9108",
            "fax_number": "817-419-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "SARDAR",
        "authorized_official_first_name": "WINFRED",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "817-419-9108",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L6619",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "L6619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210824301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.