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CORNERSTONE PEDIATRICS ASSOCIATES
NPI 1275738510
Pediatrics - Adolescent Medicine in Louisville, CO

Active since June 18, 2007CLIA Certified · 2 labs
90 HEALTH PARK DR STE 160, LOUISVILLE, CO 80027(303) 673-9030(303) 604-1095 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cornerstone Pediatrics Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE PEDIATRICS ASSOCIATES (NPI 1275738510) is a healthcare organization registered as an adolescent medicine in Louisville, Colorado and active in the NPI registry since June 2007. The organization holds 2 active CLIA laboratory certificates and lists Robert Carlin Bucknam, President, as its authorized official.

NPPES Registry Identity

NPI1275738510
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameCORNERSTONE PEDIATRICS ASSOCIATES
Location Address90 HEALTH PARK DR STE 160Louisville, CO 80027-9742
Mailing Address90 Health Park Dr Ste 160Louisville, CO 80027-9742 · (303) 673-9030 · Fax (303) 604-1095
Phone(303) 673-9030
Fax(303) 604-1095
Organization SubpartNo
Authorized OfficialRobert Carlin BucknamPresident · (303) 673-9030
Enumeration DateJune 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275738510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
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.
90 HEALTH PARK DR STE 160, Louisville, CO 80027
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Other Identifiers 1

Medicaid01313659CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D0869059

Cornerstone Pediatrics Inc · Louisville, CO
Active · expires Dec 10, 2026
CLIA Number06D0869059
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorRobert C. Bucknam
Laboratory Phone(303) 673-9030
Laboratory LocationCornerstone Pediatrics Inc90 Health Park Dr Suite 160, Louisville, CO 80027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2187421

Cornerstone Pediatrics · Broomfield, CO
Active · expires Jun 30, 2028
CLIA Number06D2187421
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorDr. Robert C. Bucknam
Laboratory Phone(303) 673-9030
Laboratory LocationCornerstone Pediatrics469 State Hwy 7 Suite 400, Broomfield, CO 80023
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON-PAUL JORDAN MD
Pediatrics
90 HEALTH PARK DR STE 160
LOUISVILLE, CO 80027
Boulder County (303) 673-9030
ADEOLA ADETOLA AKINLONU MD
Pediatrics
90 HEALTH PARK DR STE 160
LOUISVILLE, CO 80027
Boulder County (303) 673-9030
ERICA ASHLEY PERSICHETTI FNP-C, CPNP
Nurse Practitioner (Pediatrics)
90 HEALTH PARK DR STE 160
LOUISVILLE, CO 80027
Boulder County (303) 673-9030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornerstone Pediatrics Associates's NPI number?

The NPI number for Cornerstone Pediatrics Associates is 1275738510. It was assigned to this organization in the NPPES registry on June 18, 2007.

Where is Cornerstone Pediatrics Associates located?

Cornerstone Pediatrics Associates is located at 90 Health Park Dr Ste 160, Louisville, CO 80027. The listed phone number is (303) 673-9030.

What is Cornerstone Pediatrics Associates's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Cornerstone Pediatrics Associates hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cornerstone Pediatrics Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.