Cornerstone Health Care PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CORNERSTONE HEALTH CARE PA

Doing business as

Cornerstone Imaging at Brookview Hills

Practice address

3333 Brookview Hills Blvd
Suite 102
Winston Salem, NC 27103-5661

Phone

(336) 760-1448

Fax

(336) 760-1478

NPI assigned

Jan 28, 2008

Last updated

Nov 2, 2012By 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

Grace E Terrell, MDNPI 1598795478

Title

President / Ceo

Phone

(336) 802-2400

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Cornerstone Imaging at Brookview Hills Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace Emerson Terrell, MD

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1598795478
  Authorized official Same address or phone
• Sonya Roberts Cates, DPM

  • Foot Surgery Podiatrist
  • Winston Salem, NC
  • NPI 1932117900
  NPD
• Dale E Green, MD

  • Pulmonary Disease Physician
  • High Point, NC
  • NPI 1629063540
  NPD
• Mark Anthony Pane, P.A.

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1801845722
  NPD

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1851578231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DRIVE",
            "address_2": "SUIE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627254",
            "telephone_number": "336-802-2536",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BROOKVIEW HILLS BLVD",
            "address_2": "SUITE 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035661",
            "telephone_number": "336-760-1448",
            "fax_number": "336-760-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE HEALTH CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "336-802-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4241",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD6614",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "019YT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908988",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC4243",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB8658",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Imaging at Brookview Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott L. Cornella, M.D.
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• Cornerstone Health Care PA (Carolina Cardiology Cornerstone - Winston Salem)
• Cornerstone Health Care, LLC (Asthma and Allergy Associates)
• Cornerstone Health Care, LLC (Cornerstone Health Care Urology at Winston Salem)
• Cornerstone Health Care, PA (Mothershed, Mothershed, Arne and Cates)
• Cornerstone Healthcare PA (CornerstoneTotal Family Care)

• Diagnostic Radiology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.