PORTERCARE ADVENTIST HEALTH SYSTEM


Address: 80 Health Park Dr, Suite 270, Louisville, CO 80027-9584
Phone: 3036614100

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1770716870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770716870
Entity Type Organization
Organization Name PORTERCARE ADVENTIST HEALTH SYSTEM
Other Organization Name DPMG PAIN SPECIALISTS
Practice Address 80 Health Park Dr
Suite 270
Louisville
CO 80027-9584
Mailing Address Po Box 801106
Kansas City
MO 64180-1106
Practice Telephone 3036614100
Practice Fax Number 3032692094
Mailing Telephone 8009530104
Mailing Fax Number 3037656670
Enumeration Date 2009-08-24
Last Update Date 2020-09-14
Authorized Official Name MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA)
Authorized Official Telephone 3036737175
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Dimensions Pain Management Doing Business As Name - Organization
Dimensions Pain Management Other Name - Individual/Organization
DPMG PAIN SPECIALISTS Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities PORTERCARE ADVENTIST HEALTH SYSTEM 9100 E. Mineral Circle, Centennial, CO 80112

Office Location

Street Address 80 HEALTH PARK DR
SUITE 270
City LOUISVILLE
State CO
Zip Code 80027-9584

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598761298 Jeffrey R Fulford Physical Therapist 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 2005-06-27
1447785191 Breanne Sherrin Physician Assistant 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 2017-05-01
1851824353 Gary Medina Physical Therapy Assistant 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 2017-04-11
1568843423 Portercare Adventist Health System Obstetrics & Gynecology 80 Health Park Dr, Suite 250, Louisville, CO 80027-9584 2015-06-16
1851792097 Portercare Adventist Health System Neurological Surgery 80 Health Park Dr, Suite 50, Louisville, CO 80027-9584 2014-09-08
1598103566 Trudi K Kulp Physical Therapist 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 2013-06-12
1699050930 Colorado Orthotic & Prosthetic Services, LLC Prosthetic/Orthotic Supplier 80 Health Park Dr, Ste 250, Louisville, CO 80027-9584 2011-10-19
1740561679 Edward J Bloom Physical Therapist 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 2011-09-06
1780988691 Portercare Adventist Health System Internal Medicine 80 Health Park Dr, Suite 270, Louisville, CO 80027-9584 2011-01-06
1447560065 Jette Rosholm Hogenmiller Nurse Practitioner 80 Health Park Dr, Suite 270, Louisville, CO 80027-9584 2010-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144849951 Fullswift Physiotherapy, Pllc Physical Therapist 538 W. Laurel Ct., Louisville, CO 80027 2020-04-11
1265097547 Amanda Nicole Calzolano Occupational Therapist 165 S Mccaslin Blvd, Suite B, Louisville, CO 80027 2019-05-02
1891258273 Lisa Apel Counselor 287 Century Circle, Louisville, CO 80027 2019-04-11
1336622570 Boulder Neurology and Concussion Psychiatry & Neurology 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 2018-09-13
1568942886 Alessandra Zapiecki Occupational Therapist 1107 W Century Dr, Louisville, CO 80027 2018-08-16
1225539935 Healing Solutions Inc. Massage Therapist 362 S. Mccaslin Blvd., Louisville, CO 80027 2018-02-27
1033618632 Matthew Mandel Massage Therapist 1945 Piper St, Superior, CO 80027 2018-02-08
1740794031 Elise Nicole Brucks Speech-Language Pathologist 1007 Century Drive, Louisville, CO 80027 2017-11-22
1043762859 Options Treatment, LLC Counselor 1068 S. 88th Street, Unit A, Louisville, CO 80027 2016-10-27
1225584071 Trent Sayers Dental PC Dentist 1691 Coalton Rd., Superior, CO 80027 2016-08-31
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447645403 Vinayak Nadar Anesthesiology 1013 N Dupont Sq Ste A, Louisville, KY 40207-4612 2015-04-06
1114311073 William Bickers Anesthesiology 530 S Jackson St Rm C2a01, Department of Anesthesiology and Perioperative Medicine, Louisville, KY 40202-1675 2015-03-27
1386088508 Brooke Bauer Anesthesiology 2400 Eastpoint Pkwy Ste 410, Louisville, KY 40223-4154 2013-04-18
1609854520 Michael C Cronen Anesthesiology 252 Whittington Parkway, Louisville, KY 40222-4904 2006-01-03
1053807206 Capitol Pain of Kentucky, Pllc Anesthesiology 3841 Ruckriegel Pkwy Ste 104, Louisville, KY 40299 2018-07-10
1992219174 Noelle Allison Lang Anesthesiology 11901 Standiford Plaza Dr, Louisville, KY 40229 2017-11-26
1457712366 Steven Thebaud Anesthesiology 530 S Jackson St Rm C2a03, Louisville, KY 40202-1675 2016-03-19
1740611185 University of Louisville Research Foundation Anesthesiology 530 S Jackson St, Louisville, KY 40202-1675 2013-12-11
1780909952 Jenna Leigh Dismore Wrinkles Anesthesiology 120 Executive Park, Louisville, KY 40207-4201 2010-03-31
1174795181 Medical Specialists of Kentuckiana Anesthesiology 170 Dr Arla Way, Louisville, KY 40229-5427 2008-03-31
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Competitor

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City LOUISVILLE
Zip Code 80027

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Dataset Information

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.

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