Portercare Adventist Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Boulder Holistic Medical Center

Practice address

805 S Broadway St
Suite 103
Boulder, CO 80305-5971

Phone

(303) 269-2560

Fax

(303) 494-1841

NPI assigned

Mar 19, 2010

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

• Boulder Holistic Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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.

• Yuki Asakura

  • Adult Health Clinical Nurse Specialist
  • Denver, CO
  • NPI 1881054013
  NPD
• Sean A Enkiri, MD

  • Interventional Cardiology Physician
  • Littleton, CO
  • NPI 1881816064
  NPD
• Bethany Eriko Sonobe, MD

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1528228095
  NPD
• Kerry H King, MD

  • Gastroenterology Physician
  • Augusta, GA
  • NPI 1407839533
  NPD

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1962726927",
    "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": "805 S BROADWAY ST",
            "address_2": "SUITE 103",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055971",
            "telephone_number": "303-269-2560",
            "fax_number": "303-494-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98209574",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder Holistic Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara M Pope, M.D.
• Suzanne Pope, PHD
• Portercare Adventist Health System (Centura Health Physician Group Women's Health Boulder)
• Portercare Adventist Health System (Avista Adventist Hospital)
• Portercare Adventist Health System (Avista Surgery Center)
• Natalie Portman-Marsh, LCSW
• Sharon Elaine Posa
• Thea Posch, CMT, CCST
• Positive Regard Psychotherapy PLLC
• Richard B Posnick, DDS

• Family Medicine Physician in Boulder, CO
• Providers in Boulder, 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 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.