MEDICARE: PORTERCARE ADVENTIST HEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1548872062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PORTERCARE ADVENTIST HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	PO BOX 801106
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-1106
Country	:	US
Telephone Number	:	800-953-0104
Fax Number	:	303-765-6670

Provider Business Practice Location Address
First Line	:	9137 RIDGELINE BLVD STE 100
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2397
Country	:	US
Telephone Number	:	303-649-3140
Fax Number	:	303-649-3154

Authorized Official
Title or Position	:	ADMINISTRATOR, OMA
Name	:	MRS. ANGELA J SKINNER
Credential	:
Telephone Number	:	303-673-7175

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	08/02/2021

Similar Medicare Providers

1245811280 — DR. ANDRE LYNDON B JOHNSON DO
Practice Location Address:

9137 RIDGELINE BLVD STE 100
HIGHLANDS RANCH, CO
80129-2397

Practice Phone: 303-649-3140
Practice Fax: 303-649-3154

1801470513 — DR. MOODY MIHYU MD
Practice Location Address:

9137 RIDGELINE BLVD STE 100
HIGHLANDS RANCH, CO
80129-2397

Practice Phone: 303-649-3140
Practice Fax:

1487220125 — DR. MARY OLIVIA ALEXANDER MD
Practice Location Address:

9137 RIDGELINE BLVD STE 100
HIGHLANDS RANCH, CO
80129-2397

Practice Phone: 303-649-3140
Practice Fax:

1235275074 — DR. JOHN JOSEPH MAZZELLA D.C.
Practice Location Address:

2397 STATE ROUTE 36
ATLANTIC HIGHLANDS, NJ
07716-2532

Practice Phone: 732-872-6595
Practice Fax: 732-872-1508

1295973733 — QUYNHMAI VU MSPT
Practice Location Address:

2397 HWY 36
ATLANTIC HIGHLANDS, NJ
07716-2532

Practice Phone: 732-872-6595
Practice Fax: 732-872-1508

1033051149 — MATTHEW DRISCOLL PT
Practice Location Address:

9051 SSG CHRIS FALKEL DR UNIT 150
HIGHLANDS RANCH, CO
80129-3191

Practice Phone: 720-213-4451
Practice Fax:

Directions to “PORTERCARE ADVENTIST HEALTH SYSTEM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.