CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC – NPI #1598325151
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC is an allergy & immunologist located in WEST DES MONIES, IA. NPPES has assigned the NPI number 1598325151 to CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC on June 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 6 years ago on Jul 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC below.

NPI Profile for
CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC

NPI Number
1598325151
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC
Primary location
6800 LAKE DRIVE
#260
WEST DES MONIES, IA 50266
Phone: (515) 822-3192 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TARA FEDERLY
OWNER/PHYSICIAN
Phone: (952) 546-6866
Updated
Certification Date
Jul 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)
208000000X
- Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.