PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1336758838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336758838 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | ETRK ENT CRK |
| Practice Address |
2352 Meadows Blvd Ste 300 Castle Rock CO 80109-8419 |
| Mailing Address |
Po Box 801106 Kansas City MO 64180-1160 |
| Practice Telephone | 3032742544 |
| Practice Fax Number | 7202742541 |
| Mailing Telephone | 7204553800 |
| Mailing Fax Number | 7204553801 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-09-03 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHPG Castle Rock ENT | Other Name - Individual/Organization |
| ETRK ENT CRK | 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 |
2352 MEADOWS BLVD STE 300 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80109-8419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880085 | Christopher Richard Cote | Otolaryngology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2005-06-02 |
| 1699386664 | Portercare Adventist Health System | Internal Medicine | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2020-08-13 |
| 1558970079 | Portercare Adventist Health System | Orthopaedic Surgery | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2020-07-30 |
| 1285259390 | Rocky Mountain Pediatric Urology, PC | Urology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2020-06-15 |
| 1497223168 | Alexis Amber Kemp | Nurse Practitioner | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2018-11-10 |
| 1376052852 | Lauren Vaughn Weinberger | Nurse Practitioner | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2017-09-27 |
| 1215455993 | Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2017-09-01 |
| 1386041929 | Castle Rock Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2014-11-25 |
| 1578993762 | Colorado Podiatry Consultants PC | Podiatrist | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2013-11-25 |
| 1598027336 | Jessica Nicole Harness | Urology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2012-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686674 | Castle Rock Surgicenter, LLC | Clinic/Center | 4700 Castleton Way Ste 101, Castle Rock, CO 80109 | 2018-04-17 |
| 1467957746 | Elevation Vision Od Pllc | Optometrist | 658 Genoa Way, Unit B, Castle Rock, CO 80109 | 2018-03-28 |
| 1700229242 | Clare Ingram French | Surgery | 2352 Meadows Blvd Ste 220, Castle Rock, CO 80109 | 2013-04-15 |
| 1467790956 | Celeste Clippinger | Physical Therapist | 3470 Dacoro Lane, Suite 105, Castle Rock, CO 80109 | 2013-01-18 |
| 1003175696 | Candice Jessica Geist | Obstetrics & Gynecology | 2352 Meadows Blvd Ste 255, Castle Rock, CO 80109 | 2012-05-16 |
| 1760756704 | Hilary Sauder | Occupational Therapist | 3427 Dinosaur St, Castle Rock, CO 80109 | 2012-03-07 |
| 1043503568 | James Daniel Jensen | Dermatology | 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109 | 2011-05-17 |
| 1174712152 | Aaron Pierce Goodman | Dentist | 3993 Limelight Ave., E, Castle Rock, CO 80109 | 2007-10-16 |
| 1851437925 | Pamela Rose Kinder | Psychiatry & Neurology | 4350 Limelight Ave., Suite #250, Castle Rock, CO 80109 | 2007-01-29 |
| 1942228457 | Paul A Stone | Podiatrist | 2352 Meadows Blvd Ste 270, Castle Rock, CO 80109 | 2006-07-17 |
| Find all providers in zip 80109 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880085 | Christopher Richard Cote | Otolaryngology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2005-06-02 |
| 1376970012 | Portercare Adventist Health System | Otolaryngology | 2352 Meadows Blvd, Suite 300, Castle Rock, CO 80109-8406 | 2013-09-26 |
| 1104041326 | David Jonas Archibald | Otolaryngology | 2352 Meadows Blvd, Suite 290, Castle Rock, CO 80109-8406 | 2007-04-14 |
| 1588766703 | Alan Frederick Lipkin | Otolaryngology | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027225 | Barry Berlin | Otolaryngology | 1133 14th St Unit 3800, Denver, CO 80202-2277 | 2020-09-14 |
| 1972112472 | Portercare Adventist Health System | Otolaryngology | 9399 Crown Crest Blvd Ste 401, Parker, CO 80138-8540 | 2020-07-30 |
| 1063048528 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 14100 E Arapahoe Rd Ste 250, Centennial, CO 80112-4028 | 2020-03-17 |
| 1407482144 | Healthone Clinic Services - Otolaryngology Specialists LLC | Otolaryngology | 7180 E Orchard Rd Ste 202, Centennial, CO 80111-1726 | 2020-03-13 |
| 1598128266 | Edward J Hepworth Md PC | Otolaryngology | 3150 E 3rd Ave, Denver, CO 80206-5245 | 2016-03-31 |
| 1467829309 | Pikes Peak Ent | Otolaryngology | 9475 Briar Village Pt Ste 225, Colorado Springs, CO 80920 | 2015-08-26 |
| 1811376593 | Lauren Sowa | Otolaryngology | 12631 E 17th Ave # Ms 205, Aurora, CO 80045-2527 | 2015-05-27 |
| 1417343153 | Ralph Talbot Kendall | Otolaryngology | 3502 Pine Tree Sq, Colorado Springs, CO 80909-6436 | 2015-04-09 |
| 1134513351 | Planet T Hormone Replacement Center | Otolaryngology | 2631 W Colorado Ave, Colorado Springs, CO 80904-3024 | 2015-03-25 |
| 1699039156 | Catholic Health Initiatives Colorado | Otolaryngology | 11700 W 2nd Pl Ste 435, Lakewood, CO 80228-1732 | 2012-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE ROCK |
| Zip Code | 80109 |
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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.