CORNERSTONE FAMILY HEALTH, PC


Address: 1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978
Phone: 5703264118

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory PA Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
PA 0018672040007 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376523449 Cornerstone Family Health, PC Family Medicine 1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978 2006-01-17

Office Location

Street Address 1205 GRAMPIAN BLVD
SUITE 3
City WILLIAMSPORT
State PA
Zip Code 17701-1978

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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1760003313 Anpac Technology Usa Co Ltd Clinical Medical Laboratory 727 Norristown Rd., 3 Spring House Innovation Park Suite 150, Lower Gywnedd, PA 19002 2020-05-05
1922635739 Contamination Source Identification LLC Clinical Medical Laboratory 419 14th St, Huntingdon, PA 16652-1937 2020-03-24
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1568095099 Truchoice Diagnostics LLC Clinical Medical Laboratory 135 Midway Dr., Dubois, PA 15801-3857 2020-02-12
1134770720 Central Pennsylvania Alliance Laboratory LLC Clinical Medical Laboratory 1803 Mount Rose Ave Ste C-3c4, York, PA 17403-3026 2019-09-25
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Competitor

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City WILLIAMSPORT
Zip Code 17701

Improve Information

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Dataset Information

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.

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