Portercare Adventist Health System

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

36243 Issued in CO

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Practice address

7780 South Broadway
Suite 350
Littleton, CO 80122

Phone

(303) 734-8650

Fax

(303) 734-8653

NPI assigned

Aug 1, 2006

Organization subpart

No

Name

David P Hesselink

Title

VP-Finance Pe

Phone

(303) 804-8136

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

• Dianne L Bonner, PA-C

  • Medical Physician Assistant
  • Littleton, CO
  • NPI 1336164201
  NPD (past)
• Kelli M.K. Glaser, DO

  • Family Medicine Physician
  • Littleton, CO
  • NPI 1962448407
  NPD (past)
• Christopher William Nichols, MD

  • Neurology Physician
  • Lakewood, CO
  • NPI 1902919301

  Neurology

  NPD (past)
• Tobey Jean Schultz, D.O.

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1679984405
  NPD (past)
• Michele Lynn White, NP

  • Nurse Practitioner
  • Littleton, CO
  • NPI 1093964744
  NPD (past)
• Bernard H. Guiot, M.D.

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1053336933

  Neurological Surgery

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

• South Denver Neurosurgery Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2012.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1881600559",
    "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": "7780 SOUTH BROADWAY",
            "address_2": "SUITE 350",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "303-734-8650",
            "fax_number": "303-734-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "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": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "36243",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "36243",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "36243",
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "CO",
            "license": "36243",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CO",
            "license": "36243",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "CO",
            "license": "36243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73434256",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Denver Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System
• Portercare Adventist Health System
• Portercare Adventist Health System
• Portercare Adventist Health System
• Portercare Adventist Health System
• Portercare Adventist Health System
• Joshua Portnoy, M.D.
• Tiffani Nicole Posada, LPC
• Andrew Posner, SWC
• Angelique Genevieve Poturalski, M.D.

• All providers in Littleton, CO
• Neurological Surgery 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.