Organization · Type 2 NPI

Portercare Adventist Health System

Neurological Surgery Physician · Castle Rock, CO

NPI number 1194454512 Active

Practice location

4350 Limelight Ave Ste 100
Castle Rock, CO 80109-8034

Fax (720) 484-6918

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1194454512

Portercare Adventist Health System's National Provider Identifier is 1194454512, issued on Jun 9, 2022. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Castle Rock, CO. The record was last updated on Aug 12, 2026.