PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1417569922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417569922 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | SSIM S SUBURBAN INT MD |
| Practice Address |
7780 S Broadway Ste 150 Littleton CO 80122-2641 |
| Mailing Address |
Po Box 801106 Kansas City MO 64180-1106 |
| Practice Telephone | 3033479897 |
| Practice Fax Number | 3033479912 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656670 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA) |
| Authorized Official Telephone | 3036737175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Suburban Internal Medicine | Other Name - Individual/Organization |
| SSIM S SUBURBAN INT MD | 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 |
7780 S BROADWAY STE 150 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80122-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164977922 | Melissa Musso | Nurse Practitioner | 7780 S Broadway Ste 150, Littleton, CO 80122-2641 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982160933 | Alexandria Rodenbeek | Social Worker | Address: 7750 S Broadway #100, Littleton, CO 80122 | 2019-02-14 |
| 1306334495 | Dentists of Littleton, LLP | Dentist | 7330 S Broadway, Suite A130, Littleton, CO 80122 | 2018-04-25 |
| 1740789825 | Sarah Mccarthy | Social Worker | 5555 E. Arapahoe Rd., Arapahoe Medical Office, Centennial, CO 80122 | 2018-02-05 |
| 1447797105 | South Denver Musculoskeletal Surgical Partners, LLC | Clinic/Center | 300 E Mineral Ave Ste 9, Littleton, CO 80122 | 2017-01-19 |
| 1740645589 | Kristin Weller | Specialist/Technologist | 8117 S Franklin Ct, Centennial, CO 80122 | 2015-12-21 |
| 1831562024 | Vicki L. Earnshaw | Dental Hygienist | 7940 S. University Blvd., Suite 200, Centennial, CO 80122 | 2015-11-10 |
| 1194112847 | Mary Schroeter | Social Worker | 7950 S Lincoln St Ste 108, Littleton, CO 80122 | 2015-04-21 |
| 1568864981 | St Petro LLC | Assisted Living Facility | 7032 S Franklin St, Centennial, CO 80122 | 2014-09-17 |
| 1588009880 | Genesis Chiropractic Spine and Sports Center | Chiropractor | 7940 S University Blvd, Suite 100, Centennial, CO 80122 | 2013-05-01 |
| 1619218187 | Scott Richard Lapoint | Psychologist | 5161 E. Arapahoe Rd, Suite 415, Centennial, CO 80122 | 2013-03-08 |
| Find all providers in zip 80122 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452784 | Colorado Physician Partners, Pllc | Internal Medicine | 6169 S Balsam Way Ste 190, Littleton, CO 80123-3000 | 2020-09-21 |
| 1295346435 | Portercare Adventist Health System | Internal Medicine | 9670 W Coal Mine Ave Ste 200, Littleton, CO 80123-4004 | 2020-08-12 |
| 1699252619 | Cor Medical LLC | Internal Medicine | 700 W Mineral Ave, Littleton, CO 80120-4511 | 2018-07-23 |
| 1316348808 | George Thomas Kraus | Internal Medicine | 9595 W Quincy Ave, Fci Englewood, Littleton, CO 80123-1159 | 2014-09-15 |
| 1225326663 | Foothills Internal Medicine of Colorado LLC | Internal Medicine | 10579 Bradford Rd, Suite 110, Littleton, CO 80127-4274 | 2011-07-19 |
| 1518250174 | Sophia Louise Ambruso | Internal Medicine | 3 Blue Grouse Ridge Rd, Littleton, CO 80127-5704 | 2011-05-16 |
| 1023337045 | Robert L Blayney Md | Internal Medicine | 1537 W Dry Creek Rd, Littleton, CO 80120-4496 | 2010-06-01 |
| 1891938684 | Jared Davis | Internal Medicine | 6179 S Balsam Way Ste 210, Littleton, CO 80123-3093 | 2009-04-09 |
| 1457488439 | Kathleen W Mayer | Internal Medicine | 8246 W Bowles Ave Unit T, Littleton, CO 80123-3084 | 2007-02-27 |
| 1659427755 | Robert Blayney Md | Internal Medicine | 7931 S Broadway, 309, Littleton, CO 80122-2710 | 2007-01-25 |
| Find all providers in LITTLETON | ||||
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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.