Cornerstone Pediatric Surgery, PSC

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

35969 Issued in KY

Legal business name

CORNERSTONE PEDIATRIC SURGERY, PSC

Practice address

535 Wellington Way
Lexington, KY 40503-1385

Phone

(859) 224-0801

Fax

(859) 224-0899

NPI assigned

Jun 13, 2007

Last updated

May 21, 2008By 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

Daniel A Beals, MD

Title

Owner

Phone

(859) 224-0801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1871797753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031385",
            "telephone_number": "859-224-0801",
            "fax_number": "859-224-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031385",
            "telephone_number": "859-224-0801",
            "fax_number": "859-224-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PEDIATRIC SURGERY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BEALS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-224-0801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "KY",
            "license": "35969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000539897",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Crawford Cornelius, PHD
• Kirtrica Campbell Cornelius, APRN
• Corner Pediatrics, PSC
• Corner Pharmacy LLC
• Cornerstone Caregiving East LLC
• Ashley Nicole Cornett, APRN
• Carrie Ann Cornett
• Heather Lauren Cornett, PH.D., LP
• Justin Cornett, PHARMD
• Linda J Cornett, MD

• Pediatric Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.