Endoscopy Center at Porter LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

ENDOSCOPY CENTER AT PORTER LLC

Practice address

2535 S Dowing St
Suite 320
Denver, CO 80210

Phone

(303) 722-8987

Fax

(303) 722-2935

NPI assigned

May 15, 2007

Last updated

Aug 20, 2014By 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

Lance Goudzwaard, CEO

Title

Ceo

Phone

(303) 205-1090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1982810131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205641",
            "telephone_number": "303-722-8987",
            "fax_number": "303-722-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 S DOWING ST",
            "address_2": "SUITE 320",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80210",
            "telephone_number": "303-722-8987",
            "fax_number": "303-722-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER AT PORTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "GOUDZWAARD",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-205-1090",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40050351",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Endeavor Health and Practice Management (Endeavor Health Management)
• Jessica Enderlin, PHARMD
• Caitlin Jenae Endly, FNP
• Endocrinology of the Rockies, PC
• Endocrinology Specialists of Colorado, LLC
• Hirut Endris
• Melissa Eng II
• Engage With You LLC (Engage Within You LLC)
• Rocky C Engbarth
• Niels Engberding, M.D.

• Endoscopy Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Endoscopy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.