| Cornerstone Medical Group, Pllc | |
|
825 Hwy 71 North Alma AR 72921-5061 | |
| (479) 632-6688 | |
| (479) 632-0055 |
| Full Name | Cornerstone Medical Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 825 Hwy 71 North, Alma, Arkansas |
| Authorized Official Name and Position | Javed A Rana (OFFICER) |
| Authorized Official Contact | 4796326688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Medical Group, Pllc 825 Hwy. 71 N. Alma AR 72921-5114 Ph: (479) 632-6688 | Cornerstone Medical Group, Pllc 825 Hwy 71 North Alma AR 72921-5061 Ph: (479) 632-6688 |
| NPI Number | 1811100910 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 12/06/2011 |
| Medicare PECOS PAC ID | 0345334504 |
|---|---|
| Medicare Enrollment ID | O20070919000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811100910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert G Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306885116 PECOS PAC ID: 4082675905 Enrollment ID: I20041025000330 |
| Provider Name | Javed A Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538114822 PECOS PAC ID: 5597857383 Enrollment ID: I20070824000251 |
| Provider Name | Kristina Marie Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073017521 PECOS PAC ID: 9830452523 Enrollment ID: I20180411000115 |
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