Portercare Adventist Health Systems

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEMS

Doing business as

Avista Family Medicine

Practice address

611 Mitchell Way
Suite 103
Erie, CO 80516-5441

Phone

(303) 269-2780

Fax

(303) 269-2790

NPI assigned

Jan 20, 2010

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 Administrator

Phone

(303) 673-7175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Avista Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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.

• Alison Hirsh, MD

  • Internal Medicine Physician
  • Westminster, CO
  • NPI 1992777247
  NPD
• Richard G Lovato, M.D.

  • Surgery Physician
  • Lakewood, CO
  • NPI 1598727166
  NPD

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1215268974",
    "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": "611 MITCHELL WAY",
            "address_2": "SUITE 103",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165441",
            "telephone_number": "303-269-2780",
            "fax_number": "303-269-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OMA ADMINISTRATOR",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97080373",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avista Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pinnacle Surgical Services, LLC
• Plumeria Pathways
• Allison Michaud Poole, PA
• Portercare Adventist Health System (Afme PC Erie)
• Portercare Adventist Health System (AdventHealth Medical Group OB/GYN at Erie)
• Robert Ryan Powell, O.D.
• William Mark Powell
• Jeffrey S Powers, CNM
• William Prester
• Jennifer Prey

• Family Medicine Physician in Erie, CO
• Providers in Erie, CO by specialty
• Family Medicine 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.