Portercare Adventist Health System

Key facts

NPI

1780823740

Entity type

Organization (NPI type 2)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Practice address

8671 S Quebec St
Suite 220
Highlands Ranch, CO 80130

Phone

(303) 346-4444

Fax

(303) 346-4411

NPI assigned

Feb 16, 2009

Organization subpart

No

Authorized official

Name

Renae W Pemberton

Title

VP

Phone

(303) 804-8124

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Zart, M.D. Obstetrics & Gynecology Physician · Castle Rock, CO · NPI 1235142415
  NPD OBSTETRICS & GYNECOLOGY
• Peter Hun Shin, D.O. Internal Medicine Physician · Hartford, CT · NPI 1639335060
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other names

• Change DBA to: Highlands Ranch Women's Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 17, 2011.

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1780823740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1244",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802910001",
            "telephone_number": "303-486-5500",
            "fax_number": "303-486-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8671 S QUEBEC ST",
            "address_2": "SUITE 220",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80130",
            "telephone_number": "303-346-4444",
            "fax_number": "303-346-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "303-804-8124"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change DBA to: Highlands Ranch Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

• Kara Porter
• Portercare Adventist Health System
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All providers in Highlands Ranch, CO · Obstetrics & Gynecology Physician in Colorado