ETRK ENT CRK – NPI #1336758838
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

ETRK ENT CRK is an otolaryngologist located in CASTLE ROCK, CO. NPPES has assigned the NPI number 1336758838 to ETRK ENT CRK on July 30, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ETRK ENT CRK” is a dba name, the actual legal business name for this organization is PORTERCARE ADVENTIST HEALTH SYSTEM. The NPI data also shows multiple names associated with this provider such as CHPG Castle Rock ENT and 2 other listed below. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 5 years ago on Dec 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ETRK ENT CRK below.

NPI Profile for
PORTERCARE ADVENTIST HEALTH SYSTEM

NPI Number
1336758838
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORTERCARE ADVENTIST HEALTH SYSTEM
Doing Business As (dba): ETRK ENT CRK
Other name(s)
All associated names:
Other Name
CHPG Castle Rock ENT
Other Name
CHPG SPC Metro A
Doing Business As (dba)
ETRK ENT CRK
Primary location
2352 MEADOWS BLVD STE 300
CASTLE ROCK, CO 80109-8419
Phone: (303) 274-2544 Fax: (720) 274-2541
Mailing address
PO BOX 801106
KANSAS CITY, MO 64180-1160
Phone: (720) 455-3800 Fax: (720) 455-3801
Organization Subpart
No
Authorized Official
ANGELA SKINNER
ADMINISTRATOR- OMA
Phone: (303) 673-7175
Updated
Certification Date
Dec 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.