Portercare Adventist Health System

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

Centura Health Physician Group Church Ranch Pain Specialists

Practice address

7233 Church Ranch Blvd
Westminster, CO 80021-4094

Phone

(303) 925-4050

Fax

(303) 925-4051

NPI assigned

Aug 15, 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

Administrator Oma

Phone

(303) 673-7175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centura Health Physician Group Church Ranch Pain Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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.

• Joseph Patrick Moore, MD

  • Gastroenterology Physician
  • Colorado Springs, CO
  • NPI 1972607067
  NPD

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1972902914",
    "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": "303-925-4050",
            "fax_number": "303-925-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR OMA",
        "authorized_official_telephone_number": "303-673-7175"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68838859",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centura Health Physician Group Church Ranch Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Gastroenterology)
• 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
• Tracie Potter

• Pain Medicine Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Pain 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.