CORNERSTONE PEDIATRICS, PC (NPI# 1255338075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255338075 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE PEDIATRICS, PC |
| Practice Address |
1419 Village Dr Saint Joseph MO 64506-2459 |
| Practice Telephone | 8166761600 |
| Practice Fax Number | 8166761611 |
| Mailing Telephone | 8166761600 |
| Mailing Fax Number | 8166761611 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT B. STURDEVANT (PRESIDENT) |
| Authorized Official Telephone | 8166761600 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1419 VILLAGE DR |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003219304 | Charles C Glass | Physician Assistant | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2014-09-30 |
| 1134439920 | Bioderm Laboratories LLC | Clinical Medical Laboratory | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2010-10-14 |
| 1477707461 | Lindsay A Delmont | Physician Assistant | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2008-11-04 |
| 1740358159 | Melody L.stone, M.d., P.a. | Dermatology | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2006-12-01 |
| 1164430740 | Amy L Horner | Physician Assistant | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2006-08-03 |
| 1043275100 | Dianne S Castle | Nurse Practitioner | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2006-04-19 |
| 1558337196 | Melody Stone | Dermatology | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831259654 | Michelle Y Cebulko | Pediatrics | 805 N 36th St Ste B, Saint Joseph, MO 64506-2954 | 2006-12-11 |
| 1871591768 | Douglas Eugene Evans | Pediatrics | 3912 Sherman Ave, Saint Joseph, MO 64506-3648 | 2005-07-13 |
| 1598399784 | Peacock Pediatrics, LLC | Pediatrics | 805 N 36th St Ste B, Saint Joseph, MO 64506-2954 | 2020-02-26 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1790161156 | Priya Joseph | Pediatrics | 1234 Napier Ave, Saint Joseph, MI 49085 | 2015-08-07 |
| 1518374131 | Xinyue Pan | Pediatrics | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2014-07-15 |
| 1093033029 | Desire M Andersen | Pediatrics | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2010-05-14 |
| 1386970648 | Kosse Pediatrics, P.C. | Pediatrics | 3945 Sherman Ave, Saint Joseph, MO 64506-3649 | 2009-10-21 |
| 1184867855 | Carmen Marie Ford | Pediatrics | 105 Far West Dr, Heartland Pediatric and Adult Care Suite 100, Saint Joseph, MO 64506-3514 | 2009-04-10 |
| 1902079189 | Amanda Dawn Williams | Pediatrics | 805 N 36th St Ste B, Saint Joseph, MO 64506-2954 | 2008-04-08 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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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.