Portercare Adventist Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

AdventHealth Medical Group Family Medicine at Cherry Creek

Practice address

425 S Cherry St Ste 410
Glendale, CO 80246-1231

Phone

(303) 333-3388

Fax

(303) 333-5094

NPI assigned

Nov 22, 2021

Last updated

Aug 12, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jason Tacha

Title

Coo

Phone

(303) 304-7752

Specialties & licenses 1

Addresses

Other names 1

• AdventHealth Medical Group Family Medicine at Cherry Creek Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Allan Leach, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Castle Rock, CO
  • NPI 1568456622
  NPD
• Jason Michael Peragine, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Littleton, CO
  • NPI 1396716395
  NPD
• Emily C Stewart, P.A

  • Surgical Physician Assistant
  • Greenwood Village, CO
  • NPI 1902225576
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1174280424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713425",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606774325",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 410",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461231",
            "telephone_number": "303-333-3388",
            "fax_number": "303-333-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "TACHA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-304-7752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Medical Group Family Medicine at Cherry Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanne Lynn Phillips, CFPNP
• Emily Irene Poliseo, MA CCC SLP
• Judy Pomerantz, PSY D
• Audrey-Carmel Porter, PHARMD
• Portercare Adventist Health System (South Denver Cardiology Cherry Creek)
• Sophia Postma, PHARMD
• Justin Ryan Potocki
• Antwonette Mixon Prothro, NCPT
• Suzanne Purcell, BCBA
• Pure Dermatology PLLC

• Family Medicine Physician in Glendale, CO
• Providers in Glendale, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.