Portercare Adventist Health System

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Colorado Neurovascular Specialists

Practice address

7780 S Broadway
Suite 340
Littleton, CO 80122-2641

Phone

(303) 730-4400

Fax

(303) 730-4401

NPI assigned

Mar 13, 2013

Last updated

May 3, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Skinner

Title

Administrator Oma

Phone

(303) 673-7175

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Colorado Neurovascular Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1114268323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911244",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911244",
            "telephone_number": "303-643-1099",
            "fax_number": "303-643-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY",
            "address_2": "SUITE 340",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222641",
            "telephone_number": "303-730-4400",
            "fax_number": "303-730-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR OMA",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93370253",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92508766",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23583835",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76370259",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Neurovascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System (AdventHealth Medical Group Primary Care at Broadway)
• Portercare Adventist Health System (AdventHealth Medical Group Urology at Littleton)
• Portercare Adventist Health System (The Center for Rehabilitation at Littleton Adventist Hospital)
• Portercare Adventist Health System (Centura Littleton Adventist Hospital)
• Portercare Adventist Health System (Interwest Rehab - PMR)
• Portercare Adventist Health System (PRLT PC Lone Tree)
• Portercare Adventist Health System (Center for Rheumatology)
• Portercare Adventist Health System (AdventHealth Medical Group Cardiac Stress Testing at Littleton)
• Portercare Adventist Health System (Clement Park Family Medicine)
• Portercare Adventist Health System (AdventHealth Medical Group Palliative Care at Littleton)

• Neurological Surgery Physician in Littleton, CO
• Providers in Littleton, CO by specialty
• Neurological Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.