Active NPI
Cory David Farquhar Portnuff, AU.D., PH.D.
- Audiologist
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 547
- Practice address
- 1635 Aurora CT # 6200
Aurora, CO 80045-2541 - Phone
- (720) 848-2800
- NPI assigned
- Jan 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 547 | CO | Primary |
Addresses
Primary practice location
1635 Aurora CT # 6200
Aurora, CO 80045-2541
Mailing address
1555 Olive St
Denver, CO 80220-1821
Phone (720) 848-7218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091229000636 | CO | Practitioner - Qualified Audiologist | 8820138688 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 547 | CO | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Colorado Hospital Authority | Current | Accepting new patients | |
| University of Colorado Hospital Authority | Current | Accepting new patients |
Locations
1635 Aurora Ct
#6200
Aurora, CO 80045
Phone (720) 848-2800
1635 Aurora Ct
Fl 6
Aurora, CO 80045
Phone (720) 848-2650
7901 E Lowry Blvd
Ste 3
Denver, CO 80230
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
7403 Church Ranch Blvd
Westminster, CO 80021
Phone (720) 848-9400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Aurora, CO
- NPI 1982944054
CO
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1548977200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1699913053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 OLIVE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802201821",
"telephone_number": "720-848-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 AURORA CT # 6200",
"city": "AURORA",
"state": "CO",
"postal_code": "800452541",
"telephone_number": "720-848-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNUFF",
"first_name": "CORY",
"middle_name": "DAVID FARQUHAR",
"name_prefix": "Dr.",
"credential": "AU.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-22",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.