MEDICARE: CORNERSTONE PEDIATRICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033254222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNERSTONE PEDIATRICS LLC

Provider Business Mailing Address
First Line	:	76 REMICK BLVD
Second Line	:
City	:	SPRINGBORO
State	:	OH
Zip	:	45066
Country	:	US
Telephone Number	:	937-885-4475
Fax Number	:	937-885-3670

Provider Business Practice Location Address
First Line	:	3333 W TECH RD STE 220
Second Line	:
City	:	MIAMISBURG
State	:	OH
Zip	:	45342-0956
Country	:	US
Telephone Number	:	937-885-4475
Fax Number	:	937-885-3670

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	GREGORY EBERHART
Credential	:
Telephone Number	:	937-885-4475

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	12/02/2020

Similar Medicare Providers

1295268589 — KARA DANIELLE SZLAG MD
Practice Location Address:

3333 W TECH RD STE 120
MIAMISBURG, OH
45342-0956

Practice Phone: 937-748-6116
Practice Fax: 937-291-6956

1598962326 — MICHELE CHARISE DRITZ M.D.
Practice Location Address:

3333 W TECH RD STE 220
MIAMISBURG, OH
45342-0956

Practice Phone: 937-885-4475
Practice Fax: 937-885-3670

1841278926 — GREGORY MARK EBERHART MD
Practice Location Address:

3333 W TECH RD STE 220
MIAMISBURG, OH
45342-0956

Practice Phone: 937-885-4475
Practice Fax: 937-885-3670

1255318192 — CRAIG EVAN CHALFIE MD
Practice Location Address:

3333 W TECH RD STE 220
MIAMISBURG, OH
45342-0956

Practice Phone: 937-885-4475
Practice Fax: 937-885-3670

1124119169 — DR. PATRICK STANLEY HEIN M.D.
Practice Location Address:

3333 W TECH RD STE 120
MIAMISBURG, OH
45342-0956

Practice Phone: 937-748-6116
Practice Fax: 937-291-6956

1669593604 — DR. KATHLEEN PATRICIA BERNICE GIBBS MD
Practice Location Address:

3333 W TECH RD STE 120
MIAMISBURG, OH
45342-0956

Practice Phone: 937-748-6116
Practice Fax: 937-291-6956

Directions to “CORNERSTONE PEDIATRICS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.