Portercare Adventist Health System

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Avista Brain and Spine Institute

Practice address

90 Health Park Dr
Suite 320
Louisville, CO 80027-9757

Phone

(303) 661-4316

Fax

(303) 661-4345

NPI assigned

Nov 16, 2007

Last updated

Feb 9, 2009By 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

James Boyle

Title

President

Phone

(303) 778-5294

Specialties & licenses 1

Addresses

Other names 1

• Avista Brain and Spine Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

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.

• Roger S Damle, MD

  • Clinical Cardiac Electrophysiology Physician
  • Littleton, CO
  • NPI 1114944030
  NPD
• Payam Khalighi, DO

  • Hospitalist Physician
  • Denver, CO
  • NPI 1043282304
  NPD
• Vanessa Daisy Lee, MD

  • Gastroenterology Physician
  • Colorado Springs, CO
  • NPI 1912111691
  NPD

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1801077078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 1244",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911244",
            "telephone_number": "303-486-5504",
            "fax_number": "303-486-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "SUITE 320",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-661-4316",
            "fax_number": "303-661-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-778-5294"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avista Brain and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System (AdventHealth Medical Group Spine and Neurosurgery at Louisville)
• Portercare Adventist Health System (AdventHealth Medical Group General Surgery at Louisville)
• Portercare Adventist Health System (Flatirons Heart and Vascular)
• Portercare Adventist Health System (AdventHealth Medical Group Pain Management at Louisville)
• Portercare Adventist Health System (AdventHealth Medical Group Gastroenterology at Louisville)
• Portercare Adventist Health System
• Portercare Adventist Health System (Moav Med Onc Avista)
• Portercare Adventist Health System (AdventHealth Medical Group Orthopedic Surgery at Louisville)
• Portercare Adventist Health System (Centura Health Physician Group Avista Neuroscience)
• Portercare Adventist Health System (Adventhealth Avista)

• Neurological Surgery Physician in Louisville, CO
• Providers in Louisville, 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 Feb 9, 2009; 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.