Portercare Adventist Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Creekside Family Medicine

Practice address

300 S. Jackson St
Suite 340
Denver, CO 80209

Phone

(303) 316-0416

Fax

(303) 316-0421

NPI assigned

Mar 3, 2008

Last updated

May 9, 2012By 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

David P Hesselink

Title

VP-Finance Pe

Phone

(303) 804-8136

Specialties & licenses 1

Addresses

Other names 1

• Creekside Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Michael Perlovsky, MD

  • Hospitalist Physician
  • Westminster, CO
  • NPI 1326348236
  NPD
• Jana Wynett, M.D.

  • Family Medicine Physician
  • Boulder, CO
  • NPI 1225012834
  NPD

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1730359134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 911244",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911244",
            "telephone_number": "303-486-5401",
            "fax_number": "303-486-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. JACKSON ST",
            "address_2": "SUITE 340",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "303-316-0416",
            "fax_number": "303-316-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "HESSELINK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP-FINANCE PE",
        "authorized_official_telephone_number": "303-804-8136"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System (HLNH Orthopedics)
• Portercare Adventist Health System (Porter Adventist Hospital)
• Portercare Adventist Health System (HLNH Breast Care)
• Portercare Adventist Health System
• Portercare Adventist Health System (AdventHealth Medical Group Oncology at Porter)
• Portercare Adventist Health System
• Portercare Adventist Health System (AdventHealth Medical Group Thoracic Surgical Oncology at Porter)
• Portercare Adventist Health System (Adventhealth Porter)
• Portercare Adventist Health System (Pspa Pain Spec Pah)
• Portercare Adventist Health System (AdventHealth Hematology and Oncology Denver)

• Family Medicine Physician in Denver, CO
• Providers in Denver, 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 May 9, 2012; 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.