Active NPI
Portercare Adventist Health System
Doing business as Aspen Crest Health
- Internal Medicine Physician
- Parker, CO
National Provider Identifier
1871822247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Doing business as
- Aspen Crest Health
- Practice address
- 10371 S. Parkglenn Way
Suite 230
Parker, CO 80138 - Phone
- (303) 269-2525
- Fax
- (303) 269-2520
- NPI assigned
- Dec 15, 2009
- Last updated
- May 9, 2012
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
10371 S. Parkglenn Way
Suite 230
Parker, CO 80138
Mailing address
P.O. Box 911244
Denver, CO 80291-1244
Phone (303) 486-5401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91306078 | Medicaid | CO |
Other names 1
- Aspen Crest Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090115000327 | CO | Part B Supplier - Clinic/Group Practice | 0941110886 |
Receives reassigned benefits from 869 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Obstetrics & Gynecology Physician
- Erie, CO
- NPI 1891773149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1871822247",
"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": "10371 S. PARKGLENN WAY",
"address_2": "SUITE 230",
"city": "PARKER",
"state": "CO",
"postal_code": "80138",
"telephone_number": "303-269-2525",
"fax_number": "303-269-2520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-15",
"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": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91306078",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspen Crest Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Parker, CO
- 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 (Parker Primary Care)
- Portercare Adventist Health System (AdventHealth Medical Group Hospitalists at Parker)
- 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)
- Portercare Adventist Health System (AdventHealth Medical Group Family Medicine at South Parker)
- Portercare Adventist Health System (AdventHealth Medical Group Surgical Oncology at Parker)
Sources for this page
- 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.