Cornerstone Professional Orthopaedics Sports 4 Christ LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

CORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST LLC

Practice address

637 Kingsborough SQ Ste D
Chesapeake, VA 23320-4944

Phone

(757) 746-5342

Fax

(833) 954-0875

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Douglas David Duncan, MDNPI 1457337107

Title

President Cornerstone Professional

Phone

(757) 746-5342

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21511/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Douglas David Duncan, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Chesapeake, VA
  • NPI 1457337107
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1982244083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4222",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234540222",
            "telephone_number": "757-746-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 KINGSBOROUGH SQ STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204944",
            "telephone_number": "757-746-5342",
            "fax_number": "833-954-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Kempsville Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024700",
            "country_code": "US",
            "telephone_number": "757-746-5342",
            "fax_number": "833-963-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT CORNERSTONE PROFESSIONAL",
        "authorized_official_telephone_number": "757-746-5342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2 CORNERSTONE PROFESSIONAL ORTHOPAEDICS SPORTS 4 CHRIST",
            "identifier": "1982244083",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457337107",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athenhealth",
            "affiliation": "N",
            "endpointDescription": "EMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Hatley Rd",
            "city": "Belfast",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049156878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ChangeTheWorldChurch.com",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "637 Kingsborough Sq Ste D",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233204944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Core Youth and Family Services, LLC
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• Margie Corney, M.D.
• Dierra Correa
• Charlena Judith Catherine Correll, LPC

• Sports Medicine (Orthopaedic Surgery) Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.