Organization
CORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA J FEDERLY (OWNER/PHYSICIAN)
(952) 546-6866
Entity
Organization
Contact information
Practice address
6800 LAKE DRIVE, #260, WEST DES MONIES, IA 50266
(515) 822-3192
Mailing address
6800 LAKE DRIVE, #260, WEST DES MONIES, IA 50266
(515) 822-3192
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/17/2019
Last updated
07/30/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up