PORTERCARE ADVENTIST HEALTH SYSTEM (NPI# 1982213419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982213419 |
| Entity Type | Organization |
| Organization Name | PORTERCARE ADVENTIST HEALTH SYSTEM |
| Other Organization Name | CHPG ORTHOPEDICS AND SPORTS MEDICINE LONE TREE |
| Practice Address |
9695 S Yosemite St Ste 255b Lone Tree CO 80124-2890 |
| Mailing Address |
Po Box 801106 Kansas City MO 64180-1106 |
| Practice Telephone | 7204553775 |
| Practice Fax Number | 7204553795 |
| Mailing Telephone | 8009530104 |
| Mailing Fax Number | 3037656670 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | MRS. ANGELA SKINNER (ADMINISTRATOR- OMA) |
| Authorized Official Telephone | 3036737175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHPG Orthopedics and Sports Medicine Lone Tree | Other Name - Individual/Organization |
| ORCR ORTHO LONE TREE | 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 |
9695 S YOSEMITE ST STE 255B |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295966307 | Christopher A Gallus | Orthopaedic Surgery | 9695 S Yosemite St Ste 255b, Lone Tree, CO 80124-2890 | 2009-08-06 |
| 1720697667 | Portercare Adventist Health System | Obstetrics & Gynecology | 9695 S Yosemite St Ste 255b, Lone Tree, CO 80124-2890 | 2020-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1487138053 | Tyler Gallegos | Internal Medicine | 10526 Pierson Cir, Broomfield, CO 80021-3524 | 2018-09-19 |
| 1780769349 | Connally Osteopathic Care | Internal Medicine | 2629 Redwing Rd Ste 310, Fort Collins, CO 80526-2879 | 2006-10-25 |
| 1740897271 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-29 |
| 1629683321 | Poudre Valley Medical Group, LLC | Internal Medicine | 175 S Union Blvd Ste 350, Colorado Springs, CO 80910-3146 | 2020-09-10 |
| 1477039907 | Boulder Biologics, LLC | Internal Medicine | 4745 Arapahoe Ave Ste 300, Boulder, CO 80303-1292 | 2018-07-18 |
| 1346778420 | Ryan Colleen Larkin | Internal Medicine | 2240 Buchtel Blvd, Denver, CO 80210-3447 | 2017-06-01 |
| 1891740932 | Kathleen D'angelo | Internal Medicine | 12207 Pecos St, Suite 300, Westminster, CO 80234-3400 | 2006-05-24 |
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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.