PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1164792743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164792743 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | CLEMENT PARK FAMILY MEDICINE |
| Practice Address |
6901 South Pierce St. Suite 110 Littleton CO 80128 |
| Mailing Address |
P.o. Box 911244 Denver CO 80291-1244 |
| Practice Telephone | 3039322121 |
| Practice Fax Number | 3039486704 |
| Mailing Telephone | 3034865401 |
| Mailing Fax Number | 3034865502 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | DAVID P HESSELINK (VP-FINANCE PE) |
| Authorized Official Telephone | 3038048136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CLEMENT PARK FAMILY MEDICINE | 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 |
6901 SOUTH PIERCE ST. SUITE 110 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396399663 | Carlson Dental Pllc | Dentist | 7325 S. Pierce St Suite 200, Littleton, CO 80128 | 2019-07-25 |
| 1073073060 | Anais Christina Taylor | Student in an Organized Health Care Education/Training Program | 1960 Ogden St, Family Medicine - Bruner Family Medicine, Suite 460, Denver, CO 80128 | 2019-03-25 |
| 1033623467 | Georgia Kay Thompson | Specialist/Technologist, Other | 7575 S Everett St, Littleton, CO 80128 | 2017-11-21 |
| 1831619147 | Tori Horstmann | Speech-Language Pathologist | 7767 S Marshall Ct, Littleton, CO 80128 | 2017-06-27 |
| 1942736178 | Morgan Pamela Wilson | Physical Therapist | 6638 W Ottawa Ave # 115, Littleton, CO 80128 | 2017-05-09 |
| 1013450451 | Gabrielle O'hare | Behavioral Analyst | 8406 S Newland Ct, Littleton, CO 80128 | 2016-12-01 |
| 1528420940 | Colorado Assisted Living Homes Lamar | Assisted Living Facility | 6952 S. Lamar St, Littleton, CO 80128 | 2016-03-24 |
| 1871962407 | Jane Funke Mcgill | Counselor | 7345 S Pierce St Ste 202h2, Littleton, CO 80128 | 2015-09-24 |
| 1154712511 | Katherine Faye Shulman | Nurse Anesthetist, Certified Registered | 6968 W Nova Dr, Littleton, CO 80128 | 2015-02-06 |
| 1679823843 | Desirae Frances Kemock | Physical Therapist | 9805 W Hinsdale Pl, Littleton, CO 80128 | 2012-09-14 |
| Find all providers in zip 80128 | ||||
| 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 |
|---|---|---|---|---|
| 1538773296 | Donna Jean Nelligan | Family Medicine | 7950 S Lincoln St Ste 111, Littleton, CO 80122-2727 | 2020-09-01 |
| 1700358645 | Mednow Clinics, Inc | Family Medicine | 7261 S Broadway Ste 101, Littleton, CO 80122-8018 | 2018-12-17 |
| 1588017446 | Genevieve Mary Kelley | Family Medicine | 580 Saint Johnsbury Rd Ste K, Littleton, NH 03561 | 2016-07-15 |
| 1710348818 | Centennial Family Care PC | Family Medicine | 7261 S Broadway Ste 101a, Littleton, CO 80122-8018 | 2016-03-16 |
| 1710342670 | Constance Azubuike | Family Medicine | 4418 S Independence Ct, Littleton, CO 80123-1173 | 2015-12-19 |
| 1427390756 | Peter Yi Zhao | Family Medicine | 830 Constitution Ave, Littleton, MA 01460-1137 | 2013-03-25 |
| 1508114349 | Lawrence Frerker Md PC | Family Medicine | 7363 South Costilla Court, Littleton, CO 80120 | 2012-08-28 |
| 1275822934 | Rebecca Marie Bub | Family Medicine | 13402 W Coal Mine Ave Ste 250, Littleton, CO 80127-5409 | 2011-04-04 |
| 1740508365 | Zachary John Engelbert | Family Medicine | 7761 Shaffer Pkwy Ste 225, Littleton, CO 80127 | 2010-05-06 |
| 1548497456 | Robert Sidney Ivker | Family Medicine | 7580 Lost Ranger Peak, Littleton, CO 80127 | 2009-06-18 |
| 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.