Active NPI
Cornerstone Health Care, PA
- Cardiovascular Disease Physician
- High Point, NC
National Provider Identifier
1942333893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CORNERSTONE HEALTH CARE, PA
- Practice address
- 300 Gatewood Ave
High Point, NC 27262-4822 - Phone
- (336) 802-2125
- Fax
- (336) 802-2126
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Beck
- Title
- Billing Administrator
- Phone
- (336) 802-2440
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
300 Gatewood Ave
High Point, NC 27262-4822
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2400
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC4243 | Other | NC | RR MEDICARE |
| 01537 | Other | NC | BCBS |
| 25416 | Other | NC | MEDCOST |
| 8901537 | Medicaid | NC | |
| CB8658 | Other | NC | RR MEDICARE |
| CC4241 | Other | NC | RR MEDICARE |
| 7122710 | Other | NC | AETNA |
| CD6614 | Other | NC | RR MEDICARE |
Other names 1
- Cornerstone Cardiology Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000868 | NC | Part B Supplier - Clinic/Group Practice | 4183538895 |
Receives reassigned benefits from 690 practitioners This NPI is an additional NPI on the enrollment Practice locations: High Point, NC; Jefferson, NC; Jonesville, NC; Kernersville, NC; Summerfield, NC; Thomasville, NC; Winston Salem, NC; Archdale, NC… |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247443200000",
"number": "1942333893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DRIVE",
"address_2": "SUITE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2400",
"fax_number": "336-802-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GATEWOOD AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624822",
"telephone_number": "336-802-2125",
"fax_number": "336-802-2126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2009-07-13",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "BILLING ADMINISTRATOR",
"authorized_official_telephone_number": "336-802-2440"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4243",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01537",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "25416",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901537",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CB8658",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4241",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7122710",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CD6614",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Cardiology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.