Portercare Adventist Health System

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Centura Health Physician Group Physical Medicine PAH

Practice address

950 E Harvard Ave
Suite 660
Denver, CO 80210-7009

Phone

(303) 649-3855

Fax

(303) 649-3856

NPI assigned

May 27, 2014

Last updated

Apr 20, 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

Oma / Adminstrator

Phone

(303) 673-7175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centura Health Physician Group Physical Medicine PAH Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory Garten, DO

  • Hospitalist Physician
  • Denver, CO
  • NPI 1568583086
  NPD
• Margie W Kubowicz

  • Internal Medicine Physician
  • Parker, CO
  • NPI 1164566865
  NPD
• Srikanth A Sundaram, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Littleton, CO
  • NPI 1780610543
  NPD
• Russell C Tolley, MD

  • Hematology & Oncology Physician
  • Louisville, CO
  • NPI 1851375414
  NPD
• Dongwoo John Chang, M.D.

  • Neurological Surgery Physician
  • Carbondale, IL
  • NPI 1962485037
  NPD

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1164834008",
    "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": "950 E HARVARD AVE",
            "address_2": "SUITE 660",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802107009",
            "telephone_number": "303-649-3855",
            "fax_number": "303-649-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OMA / ADMINSTRATOR",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55136231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centura Health Physician Group Physical Medicine PAH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System (AdventHealth Medical Group Radiation Oncology at Porter)
• Portercare Adventist Health System (PCBH Integrated BH)
• Portercare Adventist Health System (Dimensions Pain Management at PAH)
• Portercare Adventist Health System (AdventHealth Medical Group Surgical Oncology at Porter)
• Portercare Adventist Health System (AdventHealth Medical Group Vascular Surgery at Porter)
• Portercare Adventist Health System (Colorado Comprehensive Spine Institute)
• Portercare Adventist Health System (AdventHealth Medical Group Gastroenterology at Porter)
• Portercare Adventist Health System (CHPG OB Metro)
• Portercare Adventist Health System (AdventHealth Medical Group Gynecologic Oncology at Porter)
• Portercare Adventist Health System (AdventHealth Medical Group Breast Imaging at Porter)

• Physical Medicine & Rehabilitation Physician in Denver, CO
• Providers in Denver, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.