CORNERSTONE PEDIATRICS ASSOCIATES (NPI# 1275738510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275738510 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE PEDIATRICS ASSOCIATES |
| Practice Address |
90 Health Park Dr Ste 160 Louisville CO 80027-9742 |
| Practice Telephone | 3036739030 |
| Practice Fax Number | 3036041095 |
| Mailing Telephone | 3036739030 |
| Mailing Fax Number | 3036041095 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT CARLIN BUCKNAM (PRESIDENT) |
| Authorized Official Telephone | 3036739030 |
| Authorized Official Credential | M, D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01313659 | 05 |
| Street Address |
90 HEALTH PARK DR STE 160 |
| City | LOUISVILLE |
| State | CO |
| Zip Code | 80027-9742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582616 | Erica Ashley Persichetti | Nurse Practitioner | 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 | 2020-09-15 |
| 1174014948 | Lillian Funkhouser | Nurse Practitioner | 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 | 2018-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849951 | Fullswift Physiotherapy, Pllc | Physical Therapist | 538 W. Laurel Ct., Louisville, CO 80027 | 2020-04-11 |
| 1265097547 | Amanda Nicole Calzolano | Occupational Therapist | 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 | 2019-05-02 |
| 1891258273 | Lisa Apel | Counselor | 287 Century Circle, Louisville, CO 80027 | 2019-04-11 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1568942886 | Alessandra Zapiecki | Occupational Therapist | 1107 W Century Dr, Louisville, CO 80027 | 2018-08-16 |
| 1225539935 | Healing Solutions Inc. | Massage Therapist | 362 S. Mccaslin Blvd., Louisville, CO 80027 | 2018-02-27 |
| 1033618632 | Matthew Mandel | Massage Therapist | 1945 Piper St, Superior, CO 80027 | 2018-02-08 |
| 1740794031 | Elise Nicole Brucks | Speech-Language Pathologist | 1007 Century Drive, Louisville, CO 80027 | 2017-11-22 |
| 1043762859 | Options Treatment, LLC | Counselor | 1068 S. 88th Street, Unit A, Louisville, CO 80027 | 2016-10-27 |
| 1225584071 | Trent Sayers Dental PC | Dentist | 1691 Coalton Rd., Superior, CO 80027 | 2016-08-31 |
| Find all providers in zip 80027 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679773154 | Sheila M Guelda Md Pllc | Pediatrics | 2809 N Hurstbourne Pkwy, Suite 109, Louisville, KY 40223-1279 | 2007-07-23 |
| 1235296617 | Suzanne L Woods | Pediatrics | 301 C Middletown Park Place, Louisville, KY 40243 | 2007-01-03 |
| 1700863230 | Dana J Distler | Pediatrics | 301 Middletown Park Pl, Suite C, Louisville, KY 40243-2515 | 2005-12-27 |
| 1194719831 | John P Oliphant | Pediatrics | 3427 Stony Spring Cir, Louisville, KY 40220-5437 | 2005-09-08 |
| 1467450858 | Anissa Hargis | Pediatrics | 301 C Middleton Park Pl, Louisville, KY 40243 | 2005-07-11 |
| 1518235704 | University Pediatrics Foundation, Inc. | Pediatrics | 210 E Gray St, Ste. 802, Louisville, KY 40202-3900 | 2011-12-02 |
| 1528209350 | University of Louisville | Pediatrics | 555 S Floyd St, Louisville, KY 40202-3822 | 2009-03-06 |
| 1164645834 | Middletown Pediatrics | Pediatrics | 301 C Middletown Park Place, Louisville, KY 40243 | 2007-04-11 |
| 1598801805 | Joseph Francis Meiners | Pediatrics | 4010 Dupont Cir, Suite 283, Louisville, KY 40207-4812 | 2007-01-30 |
| 1174669469 | Gerald Francis Sturgeon | Pediatrics | 4010 Dupont Cir, Suite 283, Louisville, KY 40207-4812 | 2007-01-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 80027 |
Please comment or provide details below to improve the information on CORNERSTONE PEDIATRICS ASSOCIATES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.