Portercare Adventist Health System
Organization Active NPI Surgery Physician · Louisville, CO
NPI 1053920165 · NPPES record last updated Jul 24, 2020
Key facts
- NPI
- 1053920165
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 80 Health Park Dr Ste 270
Louisville, CO 80027-4644 - Phone
- (303) 925-4030
- Fax
- (303) 661-1856
- NPI assigned
- Jul 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angela J Skinner
- Title
- Administrator, Oma
- Phone
- (303) 673-7175
Corporate family (same tax ID) 19
Practitioners 14
-
Yousuf A Gaffar, MD
-
Onaizah B Habib, M.D.
-
Elias I-Hsin Hsu, MD
-
Colin Leffert, DO
-
Kristina Carroll Searls, MMS, PA-C
-
John A Sharp, DPM
-
Kristi Wharton Swim, FNP
-
Aaron Carlson, AGNP
-
Michelle K Navarro, C. - F. N. P.
-
Shannon Leigh Vinson, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090115000327 | CO | Part B Supplier - Clinic/Group Practice | 0941110886 |
Receives reassigned benefits from 869 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Avista Adventist Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
80 Health Park Dr Ste 270
Louisville, CO 80027-4644
Mailing address
PO Box 801106
Kansas City, MO 64180-1106
Phone (800) 953-0104
Other names
- BCAV BREASTCARE AVISTA
- Centura Health Physician Group Center for Breast Care PAHS
Other providers in Louisville, CO
- Christopher Pohlman
- Erika Frances Poling
- Sabina Pomeroy
- Stefan Cristian Pop
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
All providers in Louisville, CO · Surgery Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.