Portercare Adventist Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Parker Primary Care

Practice address

10371 Parkglenn Way
Suite 220
Parker, CO 80138-3885

Phone

(303) 649-3100

Fax

(303) 649-3101

NPI assigned

Aug 31, 2012

Last updated

Oct 11, 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 L Watson, M.D.

Title

C.M.O.

Phone

(303) 804-8119

Specialties & licenses 1

Addresses

Other names 1

• PARKER PRIMARY CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1861741183",
    "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": "303-765-6636",
            "fax_number": "303-486-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10371 PARKGLENN WAY",
            "address_2": "SUITE 220",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383885",
            "telephone_number": "303-649-3100",
            "fax_number": "303-649-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C.M.O.",
        "authorized_official_telephone_number": "303-804-8119",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKER PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System (AdventHealth Hematology and Oncology Parker)
• Portercare Adventist Health System (AdventHealth Medical Group Cardiac Stress Testing at Parker)
• Portercare Adventist Health System (AdventHealth Medical Group Colorectal Surgery at Parker)
• Portercare Adventist Health System (AdventHealth Medical Group Urology at Parker)
• Portercare Adventist Health System (AdventHealth Medical Group Timberview Internal Medicine & Pediatrics at Parker)
• Portercare Adventist Health System (AdventHealth Medical Group Hospitalists at Parker)
• Portercare Adventist Health System (Aspen Crest Health)
• Portercare Adventist Health System (South Denver Cardiology Associates - Parker)
• Portercare Adventist Health System (AdventHealth Medical Group Orthopedic Trauma at Parker)
• Portercare Adventist Health System (AdventHealth Medical Group Ear, Nose & Throat at Parker)

• Family Medicine Physician in Parker, CO
• Providers in Parker, 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 Oct 11, 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.