CORNERSTONE FAMILY HEALTH, PC (NPI# 1144344201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144344201 |
Entity Type | Organization |
Organization Name | CORNERSTONE FAMILY HEALTH, PC |
Practice Address |
1205 Grampian Blvd Suite 3 Williamsport PA 17701-1978 |
Practice Telephone | 5703264118 |
Practice Fax Number | 5703265533 |
Mailing Telephone | 5703264118 |
Mailing Fax Number | 5703265533 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JAMES REDKA (PRESIDENT) |
Authorized Official Telephone | 5703264118 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | PA | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0018672040007 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376523449 | Cornerstone Family Health, PC | Family Medicine | 1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978 | 2006-01-17 |
Street Address |
1205 GRAMPIAN BLVD SUITE 3 |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701-1978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376523449 | Cornerstone Family Health, PC | Family Medicine | 1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978 | 2006-01-17 |
1790120921 | Malcolm James Eldredge | Social Worker | 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2013-05-01 |
1144517483 | Leeanna M Lyne | Family Medicine | 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2011-07-07 |
1518288935 | Matthew James Meeker | Family Medicine | 1205 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1978 | 2010-06-21 |
1932353802 | Debra Joan Gramley | Physician Assistant | 1205 Grampian Blvd, Suite3-c, Williamsport, PA 17701-1978 | 2008-11-05 |
1316975881 | Susquehanna Physician Services | Obstetrics & Gynecology | 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2006-06-30 |
1578507455 | David Lyndell Cute Jr. | Ophthalmology | 1205 Grampian Blvd, Suite 1d, Williamsport, PA 17701-1968 | 2006-06-15 |
1093761728 | Nancy L Guerrisky | Physician Assistant | 1205 Grampian Blvd, Suite 3c, Williamsport, PA 17701-1970 | 2006-05-25 |
1407824949 | Rana Colaianni | Nurse Practitioner | 1205 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1978 | 2006-03-10 |
1497723936 | David Noble Ambrose | Family Medicine | 1205 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1978 | 2006-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
Find all providers in zip 17701 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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City | WILLIAMSPORT |
Zip Code | 17701 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.