PORTERCARE ADVENTIST HEALTH SYSTEMS (NPI# 1215268974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215268974 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEMS |
| Other Organization Name | AVISTA FAMILY MEDICINE |
| Practice Address |
611 Mitchell Way Suite 103 Erie CO 80516-5441 |
| Mailing Address |
Po Box 911244 Denver CO 80291-1244 |
| Practice Telephone | 3032692780 |
| Practice Fax Number | 3032692790 |
| Mailing Telephone | 3036431099 |
| Mailing Fax Number | 3036431176 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | ANGELA SKINNER (OMA ADMINISTRATOR) |
| Authorized Official Telephone | 3036737175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 97080373 | 05 |
| Other Name | Type Code |
|---|---|
| Avista Family Medicine | Doing Business As Name - Organization |
| Street Address |
611 MITCHELL WAY SUITE 103 |
| City | ERIE |
| State | CO |
| Zip Code | 80516-5441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891773149 | Alison L Mall | Obstetrics & Gynecology | 611 Mitchell Way, Suite 103, Erie, CO 80516-5441 | 2006-01-06 |
| 1992064315 | Avista Womens Care | Obstetrics & Gynecology | 611 Mitchell Way, Suite 103, Erie, CO 80516-5436 | 2012-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638642 | Tom Root Miller II | Family Medicine | 35 Niagara Pier, Erie, PA 16507-2312 | 2020-01-22 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1528422870 | Jessica Jean Partlow | Family Medicine | 311 W 24th St Fl 4, Erie, PA 16502-2665 | 2016-04-12 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1114350808 | Bruce W Baldwin | Family Medicine | 5704 Brewster Ln, Erie, PA 16505-1110 | 2013-08-16 |
| 1477994689 | Joshua Yates Taylor | Family Medicine | 101 Erie Pkwy, Ste 201c, Erie, CO 80516-4072 | 2013-07-16 |
| 1629413257 | Amina Yasser | Family Medicine | 2314 Sassafras St Fl 2, Erie, PA 16502-2722 | 2013-05-09 |
| 1811258122 | Sandy Tapuyao Clemente | Family Medicine | 3822 Colonial Ave Ste C, Erie, PA 16506-3826 | 2012-06-04 |
| 1730470204 | Thomas Leo Obenreder | Family Medicine | 3232 Hannon Rd, Erie, PA 16510-4450 | 2011-05-02 |
| 1417247123 | Medical Associates of Erie | Family Medicine | 3435 W Lake Rd, Erie, PA 16505-3661 | 2011-04-14 |
| Find all providers in ERIE | ||||
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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.