Portercare Adventist Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Centura Health Physician Group Lone Tree Primary Care

Practice address

9695 S Yosemite St
Suite 255
Lone Tree, CO 80124-2888

Phone

(303) 649-3900

Fax

(303) 649-3910

NPI assigned

Jul 18, 2014

Last updated

Jul 18, 2014By 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) 643-0925

Specialties & licenses 1

Addresses

Other names 1

• Centura Health Physician Group Lone Tree Primary Care 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.

• Olga Dobranowski, MD

  • Family Medicine Physician
  • Castle Rock, CO
  • NPI 1184943763
  NPD
• Ryan Flint, DO

  • Family Medicine Physician
  • Westminster, CO
  • NPI 1730226010
  NPD

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1699182857",
    "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": "303-643-1040",
            "fax_number": "303-643-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST",
            "address_2": "SUITE 255",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242888",
            "telephone_number": "303-649-3900",
            "fax_number": "303-649-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OMA/ ADMINISTRATOR",
        "authorized_official_telephone_number": "303-643-0925"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centura Health Physician Group Lone Tree Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System (Adventhealth Breast Care Center Lone Tree)
• Portercare Adventist Health System (NSCR Neurosurg CRK)
• 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 (AdventHealth Medical Group RidgeGate OB/GYN at Lone Tree)
• Portercare Adventist Health System (AdventHealth Medical Group Breast Surgery at Lone Tree)
• Portercare Adventist Health System (Orcr Ortho Lone Tree)
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)

• Family Medicine Physician in Lone Tree, CO
• Providers in Lone Tree, 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 Jul 18, 2014; 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.