PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1861782476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861782476 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | SDCA LITTLETON |
| Practice Address |
1000 Southpark Dr Littleton CO 80120-5654 |
| Mailing Address |
Po Box 801106 Kansas City MO 64180-1106 |
| Practice Telephone | 3037441065 |
| Practice Fax Number | 3037331699 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656670 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MRS. ANGELA J SKINNER (ADMINISTRATOR, OMA) |
| Authorized Official Telephone | 3036737175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SDCA Littleton | Doing Business As Name - Organization |
| South Denver Cardiology Associates | Other Name - Individual/Organization |
| South Denver Cardiology Associates- A Centura Health Clinic | 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 |
1000 SOUTHPARK DR |
| City | LITTLETON |
| State | CO |
| Zip Code | 80120-5654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681526 | Joan E Eldridge | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2005-09-27 |
| 1720628332 | Portercare Adventist Health System | General Acute Care Hospital | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2020-01-11 |
| 1679124200 | Brianna Elise Jackson | Nurse Practitioner | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2019-09-25 |
| 1750832382 | Portercare Adventist Health System | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2016-10-19 |
| 1346683653 | Elizabeth Joy Carter | Nurse Practitioner | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2013-04-17 |
| 1366705451 | Erin D Unger | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2012-06-22 |
| 1467712372 | Elizabeth Margaret Grossnickle | Nurse Practitioner | 1000 Southpark Dr, Littleton, CO 80120 | 2012-05-24 |
| 1881919660 | Grant James Bailey | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2010-04-05 |
| 1770812133 | Laboratory Corporation of America | Clinical Medical Laboratory | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2009-12-15 |
| 1538305222 | Barbara Kay Poole | Nurse Practitioner | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2008-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156303 | Kelly Joy Brutsch | Counselor | 8191 Southpark Lane Suite 201, Littleton, CO 80120 | 2019-10-18 |
| 1902468309 | Infiniti Counseling, LLC | Clinic/Center | 4 W Dry Creek Circle, Littleton, CO 80120 | 2019-07-05 |
| 1437642642 | Brent Charles Mowery | Dentist | 209 W Littleton Blvd Ste B, Littleton, CO 80120 | 2018-06-12 |
| 1225525066 | Christopher Charles Miller | Counselor | 7851 S. Elati St., Suite 203, Littleton, CO 80120 | 2018-04-17 |
| 1417455890 | Cynthia Cline Mcrae | Counselor | 7921 Southpark Plaza, Grace Counseling, Suite 204, Littleton, CO 80120 | 2018-01-31 |
| 1780113175 | Janine Marie Lopez | Case Manager/Care Coordinator | 5500 S Sycamore, Littleton, CO 80120 | 2017-06-08 |
| 1952845588 | Hilary Sparrow Morris | Counselor | 991 Southpark Drive, #200, Cerescan, Littleton, CO 80120 | 2016-12-16 |
| 1760837132 | Supported Change,llc | Social Worker | 609 W Littleton Blvd Suite 201, Littleton, CO 80120 | 2016-05-04 |
| 1598123994 | Jarod Williams | Counselor | 8151 Southpark Ln Unit 250, Littleton, CO 80120 | 2016-02-01 |
| 1770948085 | Susan Jean Sylvester | Counselor | 609 West Littleton Blvd., Suite 201, Littleton, CO 80120 | 2015-12-31 |
| Find all providers in zip 80120 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1043287337 | Anil K. Mukerjee, Md, LLC | Internal Medicine | 134 Cottage St, Littleton, NH 03561-4203 | 2006-03-05 |
| 1275521544 | John T Kimball | Internal Medicine | 1000 South Park Dr., Littleton, CO 80120 | 2005-10-11 |
| 1881681526 | Joan E Eldridge | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2005-09-27 |
| 1750832382 | Portercare Adventist Health System | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2016-10-19 |
| 1598959454 | Anil Kumar Mukerjee | Internal Medicine | 134 Cottage St, Littleton, NH 03561-4203 | 2007-09-04 |
| 1104020486 | Pawel Doloto | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2007-06-12 |
| 1881816064 | Sean A Enkiri | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2007-05-03 |
| 1336231273 | David Benjamin Schuchman | Internal Medicine | 1000 Southpark Dr, Littleton, CO 80120-5654 | 2006-09-28 |
| 1427156314 | Emil Martin Pollak Jr. | Internal Medicine | 580 Saint Johnsbury Rd, Dartmouth-hitchcock Clinic, Suite A, Littleton, NH 03561-3437 | 2006-09-21 |
| 1194731455 | Richard A Mathe | Internal Medicine | 1000 Southpark Drive, Littleton, CO 80120-5654 | 2006-07-31 |
| Find all providers in LITTLETON | ||||
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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.