PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1518348580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518348580 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | CENTURA HEALTH PHYSICIAN GROUP WOMEN'S HEALTH BOULDER |
| Practice Address |
805 S Broadway St Suite 103 Boulder CO 80305-5971 |
| Mailing Address |
Po Box 911244 Denver CO 80291-1244 |
| Practice Telephone | 3036493240 |
| Practice Fax Number | 7205829903 |
| Mailing Telephone | 3036431040 |
| Mailing Fax Number | 3036431176 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centura Health Physician Group Women's Health Boulder | 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 |
805 S BROADWAY ST SUITE 103 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-5971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558344010 | Terri F Rosenbaum | Obstetrics & Gynecology | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2005-11-29 |
| 1215476692 | Elif Kuzu | Acupuncturist | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2017-02-17 |
| 1386053221 | Mitchell Shuman | Physical Therapist | 805 S Broadway St, Suite 201, Boulder, CO 80305-5971 | 2014-08-05 |
| 1962726927 | Portercare Adventist Health System | Family Medicine | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2010-03-19 |
| 1528297439 | Rebecca Jane Barnes | Physician Assistant | 805 S Broadway St, Ste 103, Boulder, CO 80305-5971 | 2009-07-13 |
| 1639353188 | Sunshine Wholistic Services LLC | Family Medicine | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2007-12-19 |
| 1063600484 | William B Britt | Optometrist | 805 S Broadway St, Ste 101, Boulder, CO 80305-5971 | 2007-10-10 |
| 1851405963 | Jeanette Hrubes | Physical Therapist | 805 S Broadway St, Ste 201, Boulder, CO 80305-5972 | 2006-08-18 |
| 1144254335 | Jana Ikeda | Dentist | 805 S Broadway St, Suite 210, Boulder, CO 80305-5971 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482880 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 2525 Arapahoe Ave # 200, Boulder, CO 80302-6720 | 2019-11-20 |
| 1871925362 | Marilyn Natalie Carol | Obstetrics & Gynecology | 4985 Moorhead Ave # 3657, High Mar Post Office, Boulder, CO 80305-5522 | 2013-08-06 |
| 1942599279 | Joseph L Printz | Obstetrics & Gynecology | 2455 Cragmoor Rd, Boulder, CO 80305-6809 | 2011-04-07 |
| 1043484082 | Boulder Gynecology & Minimally Invasive Surgery PC | Obstetrics & Gynecology | 4800 Riverbend Rd Ste 200, Boulder, CO 80301-2608 | 2008-04-22 |
| 1588859110 | Catherine C Fries | Obstetrics & Gynecology | 4745 Arapahoe, Suite 320, Boulder, CO 80303 | 2007-09-06 |
| 1316000169 | Boulder Management Services Organization | Obstetrics & Gynecology | 1155 Alpine, Suite 230, Boulder, CO 80304 | 2006-12-19 |
| 1295894178 | Boulder Womens Care PC | Obstetrics & Gynecology | 311 Mapleton Ave # 100, Boulder, CO 80304-3979 | 2006-12-07 |
| 1851352330 | Mako Shimoda | Obstetrics & Gynecology | 4745 Arapahoe Avenue, Suite 320, Boulder, CO 80303 | 2006-04-01 |
| 1558344010 | Terri F Rosenbaum | Obstetrics & Gynecology | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2005-11-29 |
| 1215925342 | Joseph Cohen | Obstetrics & Gynecology | 5377 Manhattan Cir Ste 204, Boulder, CO 80303-4345 | 2005-10-12 |
| Find all providers in BOULDER | ||||
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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.