Cornerstone Surgicare LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORNERSTONE SURGICARE LLC

Practice address

511 Hewitt Street
Pensacola, FL 32503

Phone

(850) 912-6505

Fax

(850) 912-6506

NPI assigned

Aug 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Reneta C Dewey

Title

Billing Specialist

Phone

(870) 421-1424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Cornerstone Surgicare LLCCCN 10C0001574

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Dow Gilmore, M.D.

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1013961283
  NPD
• Erik Christian Nilssen, M.D.

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1457579435
  NPD
• Pablo Concepcion, MD

  • Interventional Pain Medicine Physician
  • Pensacola, FL
  • NPI 1043232432
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1033468442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 HEWITT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032363",
            "telephone_number": "850-912-6505",
            "fax_number": "850-912-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 HEWITT STREET",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-912-6505",
            "fax_number": "850-912-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SURGICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "DEWEY",
        "authorized_official_first_name": "RENETA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "870-421-1424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reba D Corley, NP
• Kimberly Corner
• Cornerstone Caregiving East LLC
• Cornerstone Caregiving East LLC
• Cornerstone Surgery Center, LLC
• Juan Mario Corona Ruiz, M.D.
• Cynthia Rose Corona, M.D.
• Oscar H Corredor, O.D., F.A.A.O.
• Emma Rose Cossman, RBT
• Sabrina Amanda Marina Costantini, M.D

• Ambulatory Surgical Clinic/Center in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.