PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1720541634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720541634 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Practice Address |
19641 E Parker Square Dr Ste A Parker CO 80134-7397 |
| Mailing Address |
Po Box 911244 Denver CO 80291-1244 |
| Practice Telephone | 3038403800 |
| Practice Fax Number | 3038408442 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656640 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | ANGELA SKINNER (DIRECTOR OFFICE OF MEDICAL AFFAIRS) |
| 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 Aspen Creek | 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 |
19641 E PARKER SQUARE DR STE A |
| City | PARKER |
| State | CO |
| Zip Code | 80134-7397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013166719 | Deirdre M Marchetti | Nurse Practitioner | 19641 E Parker Square Dr Ste A, Parker, CO 80134 | 2008-09-17 |
| 1982210647 | Portercare Adventist Health System | Internal Medicine | 19641 E Parker Square Dr Ste A, Parker, CO 80134-7397 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| 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 |
|---|---|---|---|---|
| 1083009641 | Sergio Ramoa | Family Medicine | 11339 S Pikes Peak Dr, Parker, CO 80138-7333 | 2015-03-31 |
| 1770919409 | Bender Medical Group | Family Medicine | 9521 Twenty Mile Rd, Parker, CO 80134 | 2013-09-26 |
| 1942552401 | Samuel I Brandt | Family Medicine | 5034 Bur Oak Ln, Parker, CO 80134-5448 | 2012-10-09 |
| 1033461918 | Clark Benjamin Zimmerman IIi | Family Medicine | 7973 Stroh Rd, Parker, CO 80134-6908 | 2012-10-03 |
| 1649423914 | Bree Ann Willis | Family Medicine | 9949 S Oswego St Ste 200, Parker, CO 80134-3753 | 2008-10-29 |
| 1144481102 | Portercare Adventist Health System | Family Medicine | 10371 S. Parkglenn Way, Suite 230a, Parker, CO 80138 | 2008-06-23 |
| 1457510430 | Poudre Valley Medical Group, LLC | Family Medicine | 19964 Hilltop Rd Ste A, Parker, CO 80134-7316 | 2008-06-05 |
| 1013031400 | Foothills Medical Associates Pllc | Family Medicine | 11355 S Parker Rd Ste 103, Parker, CO 80134-7403 | 2007-03-19 |
| 1881732899 | Barton William Butterbaugh | Family Medicine | 1713 S Kofa Ave Ste A, Parker, AZ 85344-6401 | 2007-02-02 |
| 1861544462 | Hilltop Family Physicians | Family Medicine | 19964 E Hilltop Rd, Ste A, Parker, CO 80134-7313 | 2007-01-17 |
| Find all providers in PARKER | ||||
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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.