OrganizationPortercare Adventist Health System(South Denver Neurosurgery)Neurological SurgeryAllopathic & Osteopathic PhysiciansPractice Address7780 South Broadway, Suite 350, Littleton, CO 80122(303) 734-8650(303) 486-5401PECOS EnrollmentBased on the most recent information from CMS, provider Portercare Adventist Health System does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:25 PM.Profile DetailsProvider ID1881600559Provider TypeOrganizationFull NamePortercare Adventist Health SystemOther NameSouth Denver NeurosurgerySubpartNoEnumeration Date8/1/2006Last Updated5/9/2012Contact InformationPractice LocationPractice Address7780 South Broadway, Suite 350, Littleton, CO 80122Phone(303) 734-8650Fax(303) 734-8653Mailing LocationMailing AddressP.O. Box 911244, Denver, CO 80291-1244Phone(303) 486-5401Fax(303) 486-5502Authorized OfficialNameHesselink, David P (Vp-Finance Pe)Phone(303) 804-8136Provider TaxonomiesCodeDescriptionLicenseCode207T00000XPrimaryDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicense36243ColoradoCode207XS0117XDescriptionOrthopaedic SurgeryAllopathic & Osteopathic PhysiciansLicense36243ColoradoCode2084N0400XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense36243ColoradoCode2084P0005XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense36243ColoradoCode2084V0102XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense36243ColoradoCode2085N0700XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense36243ColoradoProvider IdentifiersIDDescriptionIssuerID73434256DescriptionMedicaidIssuerUnlistedColorado