CENTURA HEALTH PHYSICIAN GROUP CASTLE ROCK ENT – NPI #1376970012
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.

CENTURA HEALTH PHYSICIAN GROUP CASTLE ROCK ENT is an otolaryngologist located in CASTLE ROCK, CO. NPPES has assigned the NPI number 1376970012 to CENTURA HEALTH PHYSICIAN GROUP CASTLE ROCK ENT on September 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTURA HEALTH PHYSICIAN GROUP CASTLE ROCK ENT” is a dba name, the actual legal business name for this organization is PORTERCARE ADVENTIST HEALTH SYSTEM. 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 10 years ago on Apr 28, 2016. 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 CENTURA HEALTH PHYSICIAN GROUP CASTLE ROCK ENT below.

NPI Profile for
PORTERCARE ADVENTIST HEALTH SYSTEM

NPI Number
1376970012
Enumeration Date

(more than 12 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): CENTURA HEALTH PHYSICIAN GROUP CASTLE ROCK ENT
Primary location
2352 MEADOWS BLVD
SUITE 300
CASTLE ROCK, CO 80109-8406
Phone: (720) 455-3800 Fax: (720) 455-3801
Mailing address
PO BOX 911244
DENVER, CO 80291-1244
Phone: (303) 643-1099 Fax: (303) 643-1176
Organization Subpart
No
Authorized Official
ANGELA SKINNER
OMA ADMINISTRATOR
Phone: (303) 673-7175
Updated
Identifiers

Identifiers for CENTURA HEALTH PHYSICIAN GROUP CASTLE ROCK ENT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO55239757
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.