Portercare Adventist Health System

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

NSCR Neurosurg CRK

Practice address

9695 S Yosemite St Ste 377
Lone Tree, CO 80124-2826

Phone

(720) 638-7500

Fax

(720) 484-6918

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By 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

Mrs. Angela J Skinner

Title

Administrator, Oma

Phone

(303) 673-7175

Specialties & licenses 1

Addresses

Other names 2

• NSCR NEUROSURG CRK Doing business as
• Neurosurgery One Castle Rock Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Audrey Ryann Hemmings, DO

  • Obstetrics & Gynecology Physician
  • Louisville, CO
  • NPI 1043679103
  NPD
• Brandi Konecny, FNP-C

  • Nurse Practitioner
  • Lone Tree, CO
  • NPI 1174271746
  NPD
• Allison Whitney Spicer, PA-C

  • Physician Assistant
  • Englewood, CO
  • NPI 1417129123
  NPD
• Julianne Taylor, PA-C

  • Physician Assistant
  • Littleton, CO
  • NPI 1164815288
  NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1508434663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801106",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801106",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST STE 377",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242826",
            "telephone_number": "720-638-7500",
            "fax_number": "720-484-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR, OMA",
        "authorized_official_telephone_number": "303-673-7175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NSCR NEUROSURG CRK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurosurgery One Castle Rock",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Portercare Adventist Health System (AdventHealth Medical Group Urology at Lone Tree)
• Portercare Adventist Health System (AdventHealth Medical Group Colorado Joint Replacement at Lone Tree)
• Portercare Adventist Health System (Adventhealth Genetic Counseling Lone Tree)
• Portercare Adventist Health System (PSLT Pain Spec LT)
• Portercare Adventist Health System (Adventhealth Breast Care Center Lone Tree)
• Portercare Adventist Health System (Neurosurgery One Lone Tree)
• Portercare Adventist Health System (Neurosurgery One Interventional Pain Lone Tree)
• Portercare Adventist Health System (AdventHealth Medical Group Complex Gynecology and Surgery at Lone Tree)
• Portercare Adventist Health System (Centura Health Physician Group Lone Tree Primary Care)
• Portercare Adventist Health System (AdventHealth Medical Group RidgeGate OB/GYN at Lone Tree)

• Neurological Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, 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 Jun 15, 2021; 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.