PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1104157775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104157775 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | COLORADO ENT SPECIALISTS |
| Practice Address |
9399 Crown Crest Blvd Suite 401 Parker CO 80138-8506 |
| Mailing Address |
Po Box 911244 Denver CO 80291-1244 |
| Practice Telephone | 7202742544 |
| Practice Fax Number | 7202742541 |
| Mailing Telephone | 3036431099 |
| Mailing Fax Number | 3036431176 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | DAVID L WATSON (C.M.O.) |
| Authorized Official Telephone | 3036737181 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 20422571 | 05 | |
| CO | 80353568 | 05 |
| Other Name | Type Code |
|---|---|
| Colorado ENT Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545437 | Portercare Adventist Health System | Internal Medicine | 2535 S Downing St Ste 460, Denver, CO 80210-5831 | 2020-10-12 |
| 1669070793 | Portercare Adventist Health System | Internal Medicine | 499 E Hampden Ave Ste 280, Englewood, CO 80113-3876 | 2020-10-12 |
| 1891393922 | Portercare Adventist Health System | Internal Medicine | 9399 Crown Crest Blvd Ste 230, Parker, CO 80138-8571 | 2020-10-12 |
| 1295346435 | Portercare Adventist Health System | Internal Medicine | 9670 W Coal Mine Ave Ste 200, Littleton, CO 80123-4004 | 2020-08-12 |
| 1811507924 | Portercare Adventist Health System | Anesthesiology | 2535 S Downing St Ste 180, Denver, CO 80210-5863 | 2020-08-04 |
| 1932718418 | Portercare Adventist Health System | Urology | 2352 Meadows Blvd Ste 300u, Castle Rock, CO 80109-8406 | 2020-07-30 |
| 1972112472 | Portercare Adventist Health System | Otolaryngology | 9399 Crown Crest Blvd Ste 401, Parker, CO 80138-8540 | 2020-07-30 |
| 1417566274 | Portercare Adventist Health System | Urology | 9949 S Oswego St Ste 300, Parker, CO 80134-3888 | 2020-07-28 |
| 1871102566 | Portercare Adventist Health System | Obstetrics & Gynecology | 2356 Meadows Blvd Ste 240b, Castle Rock, CO 80109-8410 | 2020-07-28 |
| 1730704479 | Portercare Adventist Health System | Internal Medicine | 4344 Woodlands Blvd Ste 260, Castle Rock, CO 80104-2801 | 2020-06-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PORTERCARE ADVENTIST HEALTH SYSTEM | 9100 E. Mineral Circle, Centennial, CO 80112 |
| Street Address |
9399 CROWN CREST BLVD SUITE 401 |
| City | PARKER |
| State | CO |
| Zip Code | 80138-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174907 | David Michael Hardin | Surgery | 9399 Crown Crest Blvd, Suite 430, Parker, CO 80138-8506 | 2005-06-14 |
| 1508374018 | Dara Pitts | Physician Assistant | 9399 Crown Crest Blvd, Parker, CO 80138-8506 | 2018-01-18 |
| 1104363787 | Kaitlyn Flynn | Physical Therapist | 9399 Crown Crest Blvd, Suite 300, Parker, CO 80138-8506 | 2017-01-20 |
| 1952762551 | Children's Hospital Colorado | General Acute Care Hospital | 9399 Crown Crest Blvd, Suite 300, Parker, CO 80138-8506 | 2016-03-10 |
| 1497163992 | Aspen Integrated Neuromonitoring LLC | Specialist | 9399 Crown Crest Blvd, Suite 240, Parker, CO 80138-8506 | 2014-07-28 |
| 1811331721 | Richard W. Thompson | Otolaryngology | 9399 Crown Crest Blvd, Parker, CO 80138-8506 | 2013-04-22 |
| 1073892006 | Neurosurgical & Spine Trauma Associates, PC | Neurological Surgery | 9399 Crown Crest Blvd, Suite 240, Parker, CO 80138-8506 | 2011-08-09 |
| 1407145220 | Benjamin Michael Milam | Otolaryngology | 9399 Crown Crest Blvd, Ste 401, Parker, CO 80138-8506 | 2011-04-01 |
| 1558676668 | Anne H Hanson | Dermatology | 9399 Crown Crest Blvd, Suite 400, Parker, CO 80138-8506 | 2010-08-12 |
| 1326371709 | Optima Women's Healthcare, Pllc | Obstetrics & Gynecology | 9399 Crown Crest Blvd, Suite 450, Parker, CO 80138 | 2009-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
| Find all providers in zip 80138 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112472 | Portercare Adventist Health System | Otolaryngology | 9399 Crown Crest Blvd Ste 401, Parker, CO 80138-8540 | 2020-07-30 |
| 1407145220 | Benjamin Michael Milam | Otolaryngology | 9399 Crown Crest Blvd, Ste 401, Parker, CO 80138-8506 | 2011-04-01 |
| 1073792248 | William O Dickey Md | Otolaryngology | 9397 Crown Crest Blvd Ste 307, Parker, CO 80138-8788 | 2007-10-24 |
| 1598722084 | William Oliver Dickey | Otolaryngology | 9397 Crown Crest Blvd, Suite 307, Parker, CO 80138 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027225 | Barry Berlin | Otolaryngology | 1133 14th St Unit 3800, Denver, CO 80202-2277 | 2020-09-14 |
| 1063048528 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 14100 E Arapahoe Rd Ste 250, Centennial, CO 80112-4028 | 2020-03-17 |
| 1407482144 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 7180 E Orchard Rd Ste 202, Centennial, CO 80111-1726 | 2020-03-13 |
| 1598128266 | Edward J Hepworth Md PC | Otolaryngology | 3150 E 3rd Ave, Denver, CO 80206-5245 | 2016-03-31 |
| 1467829309 | Pikes Peak Ent | Otolaryngology | 9475 Briar Village Pt Ste 225, Colorado Springs, CO 80920 | 2015-08-26 |
| 1811376593 | Lauren Sowa | Otolaryngology | 12631 E 17th Ave # Ms 205, Aurora, CO 80045-2527 | 2015-05-27 |
| 1417343153 | Ralph Talbot Kendall | Otolaryngology | 3502 Pine Tree Sq, Colorado Springs, CO 80909-6436 | 2015-04-09 |
| 1134513351 | Planet T Hormone Replacement Center | Otolaryngology | 2631 W Colorado Ave, Colorado Springs, CO 80904-3024 | 2015-03-25 |
| 1699039156 | Catholic Health Initiatives Colorado | Otolaryngology | 11700 W 2nd Pl Ste 435, Lakewood, CO 80228-1732 | 2012-06-29 |
| 1104113430 | J Michael King Md PC | Otolaryngology | 403 Summit Blvd Unit 204, Broomfield, CO 80021-8253 | 2011-07-07 |
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| 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.