Cornerstone Nurse Practitioners of Ohio LLC
Organization Active NPI Nurse Practitioner · Wakeman, OH
NPI 1922698356 · NPPES record last updated Sep 30, 2021
Key facts
- NPI
- 1922698356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- CORNERSTONE NURSE PRACTITIONERS OF OHIO LLC
- Practice address
- 56 E Main St
Wakeman, OH 44889-9492 - Phone
- (440) 308-0025
- NPI assigned
- Jan 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Chad Duchette
- Title
- Owner
- Phone
- (440) 308-0025
Practitioners 32
-
Diana Bucher, APRN-CNP
-
Shannon Caruso-Fields, APRN
-
Valerie Ann Erdman, D.O.
-
Monica Lee Hernandez, AGNP-C
-
Mitchell Smith McManis, MSN, APRN, CNP
-
Thenjiwe Ndebele, NP
-
Meagon Riggs, APRN
-
Heather Tully, MSN FNP
-
Stephanie M West, FNP-BC
-
Lauren Elizabeth Dill, FNP-BC
-
Julie Dobriansky, APRN
-
Robert M Dohar, DO
-
Bailey Jo Fijalkowski, APRN
-
Anita L Groeschke, CNP
-
Imraan Haniff, MD
-
Tawna Marie Harris, CNP
-
Terri L McNatt, CNP
-
Audra Mihalic, FNP
-
Himalaya Patcha, M.D.
-
Theresa Anne Repko, FNP-C
-
Brittany Nicole Ridner, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210406000711 | OH | Part B Supplier - Clinic/Group Practice | 0840607008 |
Receives reassigned benefits from 32 practitioners Practice locations: Cincinnati, OH; Newark, OH; Hilliard, OH; Centerville, OH; Batavia, OH; Ashtabula, OH |
National Provider Directory
Locations
635 Lake Ave
Ashtabula, OH 44004
Phone (440) 812-9126
958 W North Bend Rd
Cincinnati, OH 45224
Phone (513) 542-4551
8250 Monon Ave
Cincinnati, OH 45216
Phone (513) 297-3924
98 S 30th St
Newark, OH 43055
Phone (740) 344-0303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
56 E Main St
Wakeman, OH 44889-9492
Mailing address
PO Box 6243
Wheeling, WV 26003-0722
Phone (304) 242-7106
NPI Registry JSON
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632960000000",
"number": "1922698356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6243",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030722",
"telephone_number": "304-242-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 E MAIN ST",
"city": "WAKEMAN",
"state": "OH",
"postal_code": "448899492",
"telephone_number": "440-308-0025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE NURSE PRACTITIONERS OF OHIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-20",
"last_updated": "2021-09-30",
"certification_date": "2021-07-29",
"status": "A",
"authorized_official_last_name": "DUCHETTE",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-308-0025"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakeman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.