Active NPI
Cornerstone Health Care, PA
- Plastic Surgery Physician
- High Point, NC
National Provider Identifier
1992942411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- CORNERSTONE HEALTH CARE, PA
- Practice address
- 1011 North Lindsay Street
Suite 202
High Point, NC 27262-3945 - Phone
- (336) 886-1667
- Fax
- (336) 886-5536
- NPI assigned
- Jan 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
1011 North Lindsay Street
Suite 202
High Point, NC 27262-3945
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2400
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC4243 | Other | NC | RR MEDICARE |
| CF9200 | Other | NC | RR MEDICARE |
| CC4242 | Other | NC | RR MEDICARE |
| 5912094 | Medicaid | NC | |
| CB8658 | Other | NC | RR MEDICARE |
| CC6608 | Other | NC | RR MEDICARE |
| CC4241 | Other | NC | RR MEDICARE |
| CC5472 | Other | NC | RR MEDICARE |
| CD6614 | Other | NC | RR MEDICARE |
Other names 1
- Piedmont Plastic Surgery
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 DirectoryLocations
1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253491200000",
"number": "1992942411",
"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": "336-802-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 NORTH LINDSAY STREET",
"address_2": "SUITE 202",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623945",
"telephone_number": "336-886-1667",
"fax_number": "336-886-5536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE HEALTH CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-21",
"last_updated": "2009-09-21",
"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": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"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": "RR MEDICARE",
"identifier": "CF9200",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4242",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5912094",
"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": "CC6608",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC4241",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CC5472",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CD6614",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Piedmont Plastic Surgery",
"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 Sep 21, 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.