Cornerstone Pediatrics Associates

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

CORNERSTONE PEDIATRICS ASSOCIATES

Practice address

90 Health Park Dr Ste 160
Louisville, CO 80027-9742

Phone

(303) 673-9030

Fax

(303) 604-1095

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Carlin Bucknam, M, D.NPI 1730265943

Title

President

Phone

(303) 673-9030

Specialties & licenses 1

Addresses

Other identifiers 1

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

Cornerstone Pediatric Associates2 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.

• Cornerstone Pediatrics Associates

  • Pediatric Adolescent Medicine Physician
  • Broomfield, CO
  • NPI 1558959551
  NPD tax ID

Locations

Practitioners 8

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

• Robert C Bucknam, MD

  • Pediatrics Physician
  • Louisville, CO
  • NPI 1730265943
  NPD (past) Authorized official
• Adeola Adetola Akinlonu, MD

  • Pediatrics Physician
  • Louisville, CO
  • NPI 1386031284
  NPD (past)
• Jon-Paul Jordan, MD

  • Pediatrics Physician
  • Louisville, CO
  • NPI 1134100464
  NPD (past)
• Karrin Borchard Mezarina, MD

  • Pediatrics Physician
  • Louisville, CO
  • NPI 1568566974
  NPD (past)
• David Michael Miller, MD

  • Pediatrics Physician
  • Louisville, CO
  • NPI 1447354774
  NPD (past)
• Erica Ashley Persichetti, FNP-C, CPNP

  • Pediatric Nurse Practitioner
  • Louisville, CO
  • NPI 1619582616
  NPD (past)
• David Lee Steitz, MD

  • Pediatrics Physician
  • Louisville, CO
  • NPI 1114021599
  NPD (past)
• Lillian Stroshine, WHNP-BC, FNP-C, RN

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1174014948
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275738510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 160",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279742",
            "telephone_number": "303-673-9030",
            "fax_number": "303-604-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 160",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279742",
            "telephone_number": "303-673-9030",
            "fax_number": "303-604-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PEDIATRICS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKNAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CARLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-673-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M, D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01313659",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassionate Care Center
• Karrin Alisa Contreras, MS, CADC-CS, CADC-II
• Tiffany Lyn Cook, RD
• Julie Cooper, PHARMD
• Cornerstone Orthopedics Surgery and Sports Medicine, P.C.
• Corrinn Jessica Cosaert, DDS
• Alison Anne Dormer Cowan, MD
• Allison J. Crane, M.D.
• Maureen Elizabeth Creswell, MS, CCC-SLP
• Joshua David Crosbie Cockroft, MD

• Pediatric Adolescent Medicine Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Pediatric Adolescent Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.