PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1063811008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063811008 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | CENTURA HEALTH PHYSICIAN GROUP CHURCH RANCH HEART & VASCULAR HEALTH |
| Practice Address |
7233 Church Ranch Blvd Westminster CO 80021-4094 |
| Mailing Address |
Po Box 911244 Denver CO 80291-1244 |
| Practice Telephone | 3039254055 |
| Practice Fax Number | 3039254056 |
| Mailing Telephone | 3036431099 |
| Mailing Fax Number | 3036431176 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | ANGELA SKINNER (ADMINISTRATOR OMA) |
| Authorized Official Telephone | 3036737175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 75270862 | 05 |
| Other Name | Type Code |
|---|---|
| Centura Health Physician Group Church Ranch Heart & Vascular Health | 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 |
7233 CHURCH RANCH BLVD |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80021-4094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609077668 | John Sullivan Joyce | Obstetrics & Gynecology | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2007-05-29 |
| 1659971448 | Danielle Marie Tucker | Nurse Practitioner | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-10-29 |
| 1699381350 | Portercare Adventist Health System | Internal Medicine | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-09-18 |
| 1164038824 | Portercare Adventist Health System | Obstetrics & Gynecology | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-09-18 |
| 1922618180 | Portercare Adventist Health System | Obstetrics & Gynecology | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-08-03 |
| 1710596218 | Portercare Adventist Health System | Pain Medicine | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-07-30 |
| 1063021863 | Portercare Adventist Health System | Surgery | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-07-28 |
| 1992314801 | Portercare Adventist Health System | Internal Medicine | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-07-27 |
| 1962037440 | Premier Emergency Services, Inc | Emergency Medicine | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-03-05 |
| 1710519848 | Centura Ventures, LLC | Clinic/Center | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-02-06 |
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|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| 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. |
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|---|---|---|---|---|
| 1538665906 | Heart Care of Maryland LLC | Internal Medicine | 826 Washington Rd Ste 215, Westminster, MD 21157-5780 | 2018-04-03 |
| 1083125736 | Om Cardiology, LLC | Internal Medicine | 910 Washington Rd Ste A, Westminster, MD 21157-5845 | 2017-10-21 |
| 1437688645 | Choice Specialists Inc | Internal Medicine | 945 W 124th Ave, Westminster, CO 80234-1703 | 2017-06-09 |
| 1568799161 | Cardiology Now 2 Pllc | Internal Medicine | 2751 W 120th Ave, Suite 200, Westminster, CO 80234-2986 | 2009-11-03 |
| 1598781346 | James Viet Tran | Internal Medicine | 15623 Brookhurst St, Westminster, CA 92683-7556 | 2006-07-14 |
| 1235163726 | Tao Duong | Internal Medicine | 10301 Bolsa Ave Ste 209, Westminster, CA 92683-6784 | 2006-07-10 |
| 1447293493 | Thai Quang Nguyen | Internal Medicine | 14558 Brookhurst St, Westminster, CA 92683-5750 | 2006-06-14 |
| 1306808217 | Chitrachedu Naganna | Internal Medicine | 700a Poole Rd, Westminster, MD 21157-7229 | 2006-04-05 |
| 1538153432 | Ketan P. Parikh | Internal Medicine | 910 Washington Rd, Ste A, Westminster, MD 21157 | 2005-09-07 |
| 1659365682 | Evan J Selsky | Internal Medicine | 193 Stoner Ave, Suite 340, Westminster, MD 21157-5587 | 2005-09-06 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80021 |
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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.