PORTERCARE ADVENTIST HEALTH SYSTEM


Address: 9399 Crown Crest Blvd Ste 401, Parker, CO 80138-8540
Phone: 7202742544

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1972112472) 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) 1972112472
Entity Type Organization
Organization Name PORTERCARE ADVENTIST HEALTH SYSTEM
Other Organization Name ETPK ENT PKR
Practice Address 9399 Crown Crest Blvd Ste 401
Parker
CO 80138-8540
Mailing Address Po Box 801106
Kansas City
MO 64180-1106
Practice Telephone 7202742544
Practice Fax Number 7202742541
Mailing Telephone 8009530104
Mailing Fax Number 3037656670
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Colorado ENT Specialists Other Name - Individual/Organization
ETPK ENT PKR 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
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
1003446485 Portercare Adventist Health System Family Medicine 240 Elizabeth St Ste B, Elizabeth, CO 80107-7546 2020-01-24

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 9399 CROWN CREST BLVD STE 401
City PARKER
State CO
Zip Code 80138-8540

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NPI Name Taxonomy Address Enumeration
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1427601228 Mendalyn Berry Counselor 19751 Mainstreet, Suite 395, Parker, CO 80138 2019-07-20
1366925349 Deborah Kolker Mastin Social Worker 19753 E. Pikes Peak Ave, Parker, CO 80138 2018-09-14
1861988131 Premere Rehab LLC Occupational Therapist 19160 Cottonwood Dr, Parker, CO 80138 2018-07-10
1043737315 Ponderosa Counseling Center LLC Nurse Practitioner 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 2017-08-27
1942674502 Brittany Caitlin Peters Occupational Therapist 12169 S Hidden Trail Ct, Parker, CO 80138 2015-11-19
1548650799 Robyn Looze Social Worker 19563 East Mainstreet Suite, 204, Parker, CO 80138 2015-01-27
1013328426 Dena Dobbs Dietitian, Registered 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 2014-05-20
1811322092 Aba At Legacy Behavioral Analyst 19751 E. Mainstreet Ste. 215, Parker, CO 80138 2013-09-06
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407145220 Benjamin Michael Milam Otolaryngology 9399 Crown Crest Blvd, Ste 401, Parker, CO 80138-8506 2011-04-01
1104157775 Portercare Adventist Health System Otolaryngology 9399 Crown Crest Blvd, Suite 401, Parker, CO 80138-8506 2010-01-21
1073792248 William O Dickey Md Otolaryngology 9397 Crown Crest Blvd Ste 307, Parker, CO 80138-8788 2007-10-24
1598722084 William Oliver Dickey Otolaryngology 9397 Crown Crest Blvd, Suite 307, Parker, CO 80138 2006-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063027225 Barry Berlin Otolaryngology 1133 14th St Unit 3800, Denver, CO 80202-2277 2020-09-14
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
1104113430 J Michael King Md PC Otolaryngology 403 Summit Blvd Unit 204, Broomfield, CO 80021-8253 2011-07-07
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Competitor

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City PARKER
Zip Code 80138

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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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