Active NPI
Cornerstone Surgical Suites, LLC
- Ambulatory Surgical Clinic/Center
- Westminster, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CORNERSTONE SURGICAL SUITES, LLC
- Practice address
- 7237 Church Ranch Blvd Unit 408
Westminster, CO 80021-6064 - Phone
- (303) 339-4056
- Fax
- (303) 339-4061
- NPI assigned
- Oct 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Mactaggert, MD
- Title
- Ceo
- Phone
- (206) 819-2216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
7237 Church Ranch Blvd Unit 408
Westminster, CO 80021-6064
Mailing address
6798 Villa LN
Berthoud, CO 80513-9001
Phone (720) 252-3994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240208003664 | CO | Part B Supplier - Ambulatory Surgical Center | 7113360942 | Practice locations: Westminster, CO |
Ambulatory surgical center certification: CCN 06C0001207
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CORNERSTONE SURGICAL SUITES LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jun 19, 2024
- Last certification
- Jun 19, 2024
- Ownership / control type
- Proprietary
- Facility address
- 7237 Church Ranch Blvd. Unit 408
Westminster, CO 80021
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2297721 | Cornerstone Surgical Suites, LLC | Certificate of waiver | Jan 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
7237 Church Ranch Blvd
Broomfield, CO 80021
7237 Church Ranch Blvd
Unit 407
Westminster, CO 80021
7237 Church Ranch Blvd
Unit 408
Westminster, CO 80021
Phone (303) 339-4056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1447296025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699488000000",
"number": "1790557312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6798 VILLA LN",
"city": "BERTHOUD",
"state": "CO",
"postal_code": "805139001",
"telephone_number": "720-252-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7237 CHURCH RANCH BLVD UNIT 408",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800216064",
"telephone_number": "303-339-4056",
"fax_number": "303-339-4061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE SURGICAL SUITES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-26",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A",
"authorized_official_last_name": "MACTAGGERT",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "206-819-2216",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
- Suzanne Cornelius, RBT
- Cornerstone Christian Counseling, Inc
- Cornerstone Orthopedics Surgery and Sports Medicine, P.C.
- Cornerstone Orthopedics Surgery and Sports Medicine, P.C.
- Cornerstone Pediatric Dentistry, PLLC
- Costco Wholesale Corporation
- Costco Wholesale Corporation (Costco Hearing Aid #440)
- Costco Wholesale Corporation (Costco Optical #440)
- Claire Cote
- Abigail Coufal
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.