Portercare Adventist Health System

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

36243 Issued in CO

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

South Denver Neurosurgery

Practice address

7780 South Broadway
Suite 350
Littleton, CO 80122

Phone

(303) 734-8650

Fax

(303) 734-8653

NPI assigned

Aug 1, 2006

Last updated

May 9, 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 P Hesselink

Title

VP-Finance Pe

Phone

(303) 804-8136

Specialties & licenses 6

Addresses

Other names 1

• South Denver Neurosurgery Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 6

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.

• 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
  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
  NPD (past)

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Denver Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System (AdventHealth Medical Group Colorado Joint Replacement at West Denver)
• Portercare Adventist Health System (Cardiac Rehab at South Denver Cardiology Assoc)
• Portercare Adventist Health System (AdventHealth Medical Group Cardiac Surgery at Littleton)
• Portercare Adventist Health System (AdventHealth Medical Group OB Hospitalists at Littleton)
• Portercare Adventist Health System (Sdca Littleton Clinic)
• Portercare Adventist Health System (Center for Endocrinology & Diabetes)
• Joshua Portnoy, M.D.
• Tiffani Nicole Posada, LPC
• Andrew Posner, LCSW
• Angelique Genevieve Poturalski, M.D.

• Neurological Surgery Physician in Littleton, CO
• Providers in Littleton, 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 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.