PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1699386664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699386664 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | PRMD PC MEADOWS |
| Practice Address |
2352 Meadows Blvd Ste 300 Castle Rock CO 80109-8419 |
| Mailing Address |
Po Box 801106 Kansas City MO 64180-1106 |
| Practice Telephone | 7204553751 |
| Practice Fax Number | 7204553751 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656670 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | ANGELA J SKINNER (ADMINISTRATOR, OMA) |
| Authorized Official Telephone | 3036737175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHPG Primary Care S Denver | Other Name - Individual/Organization |
| PRMD PC MEADOWS | Doing Business As Name - Organization |
| Ridgeline Family Medicine at the Meadows | Other Name - Individual/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 |
2352 MEADOWS BLVD STE 300 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80109-8419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880085 | Christopher Richard Cote | Otolaryngology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2005-06-02 |
| 1336758838 | Portercare Adventist Health System | Otolaryngology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2020-07-30 |
| 1558970079 | Portercare Adventist Health System | Orthopaedic Surgery | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2020-07-30 |
| 1285259390 | Rocky Mountain Pediatric Urology, PC | Urology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2020-06-15 |
| 1497223168 | Alexis Amber Kemp | Nurse Practitioner | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2018-11-10 |
| 1376052852 | Lauren Vaughn Weinberger | Nurse Practitioner | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2017-09-27 |
| 1215455993 | Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2017-09-01 |
| 1386041929 | Castle Rock Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2014-11-25 |
| 1578993762 | Colorado Podiatry Consultants PC | Podiatrist | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2013-11-25 |
| 1598027336 | Jessica Nicole Harness | Urology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2012-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686674 | Castle Rock Surgicenter, LLC | Clinic/Center | 4700 Castleton Way Ste 101, Castle Rock, CO 80109 | 2018-04-17 |
| 1467957746 | Elevation Vision Od Pllc | Optometrist | 658 Genoa Way, Unit B, Castle Rock, CO 80109 | 2018-03-28 |
| 1700229242 | Clare Ingram French | Surgery | 2352 Meadows Blvd Ste 220, Castle Rock, CO 80109 | 2013-04-15 |
| 1467790956 | Celeste Clippinger | Physical Therapist | 3470 Dacoro Lane, Suite 105, Castle Rock, CO 80109 | 2013-01-18 |
| 1003175696 | Candice Jessica Geist | Obstetrics & Gynecology | 2352 Meadows Blvd Ste 255, Castle Rock, CO 80109 | 2012-05-16 |
| 1760756704 | Hilary Sauder | Occupational Therapist | 3427 Dinosaur St, Castle Rock, CO 80109 | 2012-03-07 |
| 1043503568 | James Daniel Jensen | Dermatology | 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109 | 2011-05-17 |
| 1174712152 | Aaron Pierce Goodman | Dentist | 3993 Limelight Ave., E, Castle Rock, CO 80109 | 2007-10-16 |
| 1851437925 | Pamela Rose Kinder | Psychiatry & Neurology | 4350 Limelight Ave., Suite #250, Castle Rock, CO 80109 | 2007-01-29 |
| 1942228457 | Paul A Stone | Podiatrist | 2352 Meadows Blvd Ste 270, Castle Rock, CO 80109 | 2006-07-17 |
| Find all providers in zip 80109 | ||||
| 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 |
|---|---|---|---|---|
| 1184928715 | David Lloyd Wood | Family Medicine | 2100 N Rocky View Rd, Castle Rock, CO 80108-9071 | 2010-12-21 |
| 1184943763 | Olga Dobranowski | Family Medicine | 6301 Ellingwood Point Pl, Castle Rock, CO 80108-9479 | 2010-05-22 |
| 1801079488 | Dalton J Mackay | Family Medicine | 651 Topeka Way Ste 600, Castle Rock, CO 80109-3116 | 2007-12-06 |
| 1922204866 | Emma V Torres Baltazar Md Pllc | Family Medicine | 606 Se Roake Avenue, Castle Rock, WA 98611 | 2007-06-26 |
| 1194807404 | Preston Keith Nein | Family Medicine | 3887 Stone Canon Ranch Rd, Castle Rock, CO 80104-2185 | 2006-10-19 |
| 1619074382 | Mihir Vikram Patel | Family Medicine | 4404 Barranca Lane, Suite 101, Castle Rock, CO 80104 | 2006-09-17 |
| 1790898849 | Dwayne Bryan Thomason | Family Medicine | 3 Oakwood Park Plz, Castle Rock, CO 80104-1887 | 2006-08-15 |
| 1619901592 | Emma V. Torres-baltazar | Family Medicine | 606 Se Roake St. / Avenue, Castle Rock Medical Clinic, Castle Rock, WA 98611 | 2006-07-10 |
| 1881660645 | Marlow Perez | Family Medicine | 831 S Perry, Suite 200, Castle Rock, CO 80104-1919 | 2006-02-23 |
| 1225018633 | Belton Douglas Hallmark | Family Medicine | 1175 S Perry St, 200, Castle Rock, CO 80104-1969 | 2006-01-20 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80109 |
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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.