Coronado Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORONADO SURGERY CENTER LLC

Practice address

150 S Coronado Dr Ste 100
Sierra Vista, AZ 85635-6301

Phone

(520) 335-8450

Fax

(520) 335-8082

NPI assigned

Oct 26, 2016

Last updated

Jun 24, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CORONADO SURGERY CENTER LLCAs reported in NPPES

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

Authorized official

Name

Jamie Michelle MoensterNPI 1710189931

Title

Physician

Phone

(520) 207-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Listed as

Coronado Surgery Center LLCCCN 03C0001390

Medicare certification status

Terminated Voluntary: merger or closure, Mar 30, 2023From 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

Tax ID family

Coronado Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coronado Surgery Center LLC

  dba Monarch Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Tucson, AZ
  • NPI 1124948690
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Michelle Moenster, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Tucson, AZ
  • NPI 1710189931
  Medicare reassignment NPD Authorized official
• Christopher William Weyer, D.O.

  • MOHS-Micrographic Surgery Physician
  • Sierra Vista, AZ
  • NPI 1851515381
  Medicare reassignment NPD
• Geneva Daneker, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1619419157
  NPD (past)
• Kyle L Koski, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1407803588
  NPD (past)
• Candy Mungarro-Rubio, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
  • NPI 1114697067
  NPD (past)
• Marco Swanson, MD

  • Plastic and Reconstructive Surgery Physician
  • Tucson, AZ
  • NPI 1386148047
  NPD (past)
• Amy Weierman, PA-C

  • Physician Assistant
  • Tucson, AZ
  • NPI 1447409305
  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1215489182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 100",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356301",
            "telephone_number": "520-335-8450",
            "fax_number": "520-335-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 100",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356301",
            "telephone_number": "520-335-8450",
            "fax_number": "520-335-8082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 N Oracle Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857043713",
            "country_code": "US",
            "telephone_number": "520-274-8500",
            "fax_number": "520-365-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORONADO SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORONADO SURGERY CENTER LLC",
        "enumeration_date": "2016-10-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "MOENSTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "520-207-3100"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Conley, DPT
• Rachel Conn, PT, DPT
• Marjorie Ann Conroy
• Samantha Conroy, FNP
• Mary Suzanne Cook, CRNA
• Eileen Ann Coulston, NURSE PRACTITIONER
• Counselorheidi, LLC
• Cheri Courrege, RN
• Logan Crabtree, PT
• Fredrick Michael Cramer, M.D.

• Ambulatory Surgical Clinic/Center in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.