Portercare Adventist Health System

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Centura Health Physician Group Church Ranch Gastroenterology

Practice address

7233 Church Ranch Blvd
Westminster, CO 80021-4094

Phone

(303) 925-4070

Fax

(303) 925-4071

NPI assigned

Sep 8, 2014

Last updated

Apr 20, 2016By 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

Angela Skinner

Title

Oma Administrator

Phone

(303) 673-7175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centura Health Physician Group Church Ranch Gastroenterology Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

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.

• Qaisar M Khan, M.D.

  • Interventional Cardiology Physician
  • Thornton, CO
  • NPI 1952344301
  NPD
• Courtney Marie Miller, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Highlands Ranch, CO
  • NPI 1326300864
  NPD
• Jamie Hope Pollack, PSY.D.

  • Clinical Neuropsychologist
  • Littleton, CO
  • NPI 1700967668
  NPD
• Jason R. Sims, DO

  • Family Medicine Physician
  • Golden, CO
  • NPI 1396777223
  NPD
• Christine Agnes Sopo-Jones, MD

  • Internal Medicine Physician
  • Littleton, CO
  • NPI 1447322003
  NPD
• Drew Werner, MD

  • Family Medicine Physician
  • Castle Rock, CO
  • NPI 1942373071
  NPD

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1942601182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911244",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911244",
            "telephone_number": "303-643-1099",
            "fax_number": "303-643-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 CHURCH RANCH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214094",
            "telephone_number": "303-925-4070",
            "fax_number": "303-925-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OMA ADMINISTRATOR",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43806066",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centura Health Physician Group Church Ranch Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portercare Adventist Health System (AdventHealth Medical Group Primary Care at Church Ranch)
• Portercare Adventist Health System (CHNH Pain Specialists)
• Portercare Adventist Health System (AdventHealth Medical Group OBGYN and Midwifery at Westminster)
• Portercare Adventist Health System (Centura Health Physician Group Church Ranch Senior Care)
• Portercare Adventist Health System (AdventHealth Medical Group Urogynecology at Church Ranch)
• Portercare Adventist Health System (Centura Health Physician Group Church Ranch Pain Specialists)
• Portercare Adventist Health System (AdventHealth Medical Group Gastroenterology at Church Ranch)
• Alexandria Potesta, SWC, LSW
• Potomac Square Family Medicine, LLC
• Tony Ray Potter, PA-C

• Gastroenterology Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Gastroenterology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.