PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1427477637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427477637 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | CENTURA HEALTH PHYSICIAN GROUP SENIOR CARE PAHS |
| Practice Address |
5500 E Peakview Ave Centennial CO 80121-3539 |
| Mailing Address |
Po Box 911244 Denver CO 80291-1244 |
| Practice Telephone | 3036493820 |
| Practice Fax Number | 3036493821 |
| Mailing Telephone | 3036431100 |
| Mailing Fax Number | 3036431176 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | ANGELA SKINNER (OMA ADMINISTRATOR) |
| Authorized Official Telephone | 3036430925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centura Health Physician Group Senior Care PAHS | 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 |
5500 E PEAKVIEW AVE |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80121-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679517783 | Jane L Moore | Nurse Practitioner | 5500 E Peakview Ave, Centennial, CO 80121 | 2006-06-16 |
| 1366926065 | Jeremy James Kujawa | Physical Therapist | 5500 E Peakview Ave, Centennial, CO 80121-3539 | 2018-09-18 |
| 1881176691 | Alexander Luksik | Physical Therapy Assistant | 5500 E Peakview Ave, Centennial, CO 80121-3539 | 2018-08-29 |
| 1154707578 | Nicole Fairless | Occupational Therapist | 5500 E Peakview Ave, Centennial, CO 80121-3539 | 2015-08-07 |
| 1649650029 | Mark Bellen | Physical Therapy Assistant | 5500 E Peakview Ave, Centennial, CO 80121-3539 | 2015-06-01 |
| 1982962270 | Jennifer Hunsinger | Occupational Therapist | 5500 E Peakview Ave, Centennial, CO 80121-3539 | 2012-04-25 |
| 1871877332 | Jason Drew Staples | Occupational Therapist | 5500 E Peakview Ave, Centennial, CO 80121-3539 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457810889 | Pushpa Sunder Mehta | Obstetrics & Gynecology | 5555 E. Pine Court., Greenwood Village, CO 80121 | 2019-03-15 |
| 1346722378 | Michael Bernard Young | Respiratory Therapist, Registered | 2204 E Panama Drive, Centennial, CO 80121 | 2018-09-06 |
| 1235592676 | Stephen Cheung | Student in an Organized Health Care Education/Training Program | 191 E Orchard Rd Ste 200, Littleton, CO 80121 | 2016-04-02 |
| 1962722629 | James Paul Bieneman | Dentist | 6650 S. Vine Street, Suite 220, Centennial, CO 80121 | 2010-06-04 |
| 1033349774 | Matthew Renner Wimmer | Dentist | 6690 S. Broadway, Centennial, CO 80121 | 2009-07-15 |
| 1134385131 | Paul Adams Hood | Counselor | 6949 South Highway 73, Suite 211, Evergreen, CO 80121 | 2008-07-30 |
| 1063545044 | Marcia J Murphy | Psychologist | 681 E Orchard Road, Centennial, CO 80121 | 2007-03-13 |
| 1417032111 | Edward J. Barrett | Dentist | 6650 S. Vine St, L-80, Centennial, CO 80121 | 2006-10-25 |
| 1255412334 | Donald A Metzger | Optometrist | 6610 S Broadway, Centennial, CO 80121 | 2006-10-17 |
| 1609893171 | Michele Marie Friedl | Dentist | 5959 S University, Greenwood Village, CO 80121 | 2006-07-17 |
| Find all providers in zip 80121 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1811176688 | Preferred Provider Services | Internal Medicine | 8200 S Quebec St Ste A3-313, Centennial, CO 80112-4411 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151934 | Geriatric Medicine Associates, PC | Internal Medicine | 500 W 144th Ave Ste 140, Westminster, CO 80023-9326 | 2020-10-15 |
| 1609241264 | Goodness Health, LLC | Internal Medicine | 6816 W 84th Cir Unit 36, Arvada, CO 80003-1139 | 2015-12-08 |
| 1932528247 | Ian Reynolds | Internal Medicine | 13001 E 17th Pl # P, Aurora, CO 80045-2570 | 2014-04-15 |
| 1801037726 | Elizabeth Suzanne Clarke | Internal Medicine | 301 W 6th Ave # Mc3251, Wellington E Webb Center for Primary Care, Denver, CO 80204-5182 | 2009-03-23 |
| 1528232402 | Shalom Park Professional Services LLC | Internal Medicine | 14800 E Belleview Drive, Aurora, CO 80015-2258 | 2008-04-22 |
| 1023297579 | Long Term Care & Rehab Consultants, LLC | Internal Medicine | 5792 Cole Ct, Arvada, CO 80002-1155 | 2007-11-01 |
| 1821289752 | William A Solomon, Md, P.C. | Internal Medicine | 3140 S Peoria St # 266, Aurora, CO 80014-3178 | 2007-08-06 |
| 1124223847 | Pamela Tyrrell Md PC | Internal Medicine | 1305 Krameria St # H143, Denver, CO 80220-2743 | 2007-06-21 |
| 1962524942 | Fred Michael Feinsod | Internal Medicine | 9 Alta Vista Rd, Colorado Springs, CO 80906-4202 | 2007-04-03 |
| 1649301433 | Charles Porter Storey Jr. | Internal Medicine | 1835 Franklin Street, Denver, CO 80218-1126 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80121 |
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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.