NPIMap

Organization Active NPI

Cornerstone Ear Nose & Throat PA

  • Otolaryngology Physician
  • Indian Land, SC
National Provider Identifier
1932800745
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CORNERSTONE EAR NOSE & THROAT PA
Practice address
7666 Charlotte Hwy Ste 220
Indian Land, SC 29707-0004
Phone
(704) 752-7575
Fax
(704) 752-7576
NPI assigned
Mar 17, 2023
Organization subpart
Yes
Parent organization
CORNERSTONE EAR NOSE & THROAT PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Teresa M Helms
Title
Administrator
Phone
(704) 752-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

7666 Charlotte Hwy Ste 220
Indian Land, SC 29707-0004

Mailing address

1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Ear Nose Throat PA2 organizations share this tax ID, including this one
Part of
Cornerstone Ear Nose Throat PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1107 Reynolds St
Monroe, NC 28112
Phone (704) 289-8220

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1932800745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-752-7575",
            "fax_number": "704-752-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7666 CHARLOTTE HWY STE 220",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297070004",
            "telephone_number": "704-752-7575",
            "fax_number": "704-752-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE EAR NOSE & THROAT PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE EAR NOSE & THROAT PA",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-752-7575"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.