Provider Demographics
NPI:1972783314
Name:CORNERSTONE FAMILY HEALTH, INC.
Entity type:Organization
Organization Name:CORNERSTONE FAMILY HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-416-6066
Mailing Address - Street 1:1329 CHERRY WAY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6777
Mailing Address - Country:US
Mailing Address - Phone:614-416-6066
Mailing Address - Fax:614-416-6070
Practice Address - Street 1:1329 CHERRY WAY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6777
Practice Address - Country:US
Practice Address - Phone:614-416-6066
Practice Address - Fax:614-416-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076832C207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2249794Medicaid
OH2249794Medicaid
OHH35770Medicare UPIN