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CORNERSTONE FAMILY CLINIC LLC
NPI 1164630380
Family Medicine in Van Buren, AR

Active since May 19, 2007
14 GOTHIC RIDGE RD, VAN BUREN, AR 72956(479) 474-1100(479) 474-0069 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cornerstone Family Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE FAMILY CLINIC LLC (NPI 1164630380) is a healthcare organization registered as a family medicine in Van Buren, Arkansas and active in the NPI registry since May 2007. The organization lists Robert Wendell Ross, Owner, as its authorized official.

NPPES Registry Identity

NPI1164630380
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORNERSTONE FAMILY CLINIC LLC
Location Address14 GOTHIC RIDGE RDVan Buren, AR 72956-6565
Mailing Address14 Gothic Ridge RdVan Buren, AR 72956-6565 · (479) 474-1100 · Fax (479) 474-0069
Phone(479) 474-1100
Fax(479) 474-0069
Organization SubpartNo
Authorized OfficialRobert Wendell RossOwner · (479) 474-1100
Enumeration DateMay 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164630380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
14 GOTHIC RIDGE RD, Van Buren, AR 72956
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMAD IDRIS M.D.
Family Medicine
14 GOTHIC RIDGE RD
VAN BUREN, AR 72956
Crawford County (479) 471-0011
SUH N NIBA M.D.
Family Medicine
14 GOTHIC RIDGE RD
VAN BUREN, AR 72956
Crawford County (479) 474-1100
STEPHEN E CARNEY M.D.
Family Medicine
14 GOTHIC RIDGE RD
VAN BUREN, AR 72956
Crawford County (479) 474-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornerstone Family Clinic LLC's NPI number?

The NPI number for Cornerstone Family Clinic LLC is 1164630380. It was assigned to this organization in the NPPES registry on May 19, 2007.

Where is Cornerstone Family Clinic LLC located?

Cornerstone Family Clinic LLC is located at 14 Gothic Ridge Rd, Van Buren, AR 72956. The listed phone number is (479) 474-1100.

What is Cornerstone Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Cornerstone Family Clinic LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.