Portercare Adventist Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTERCARE ADVENTIST HEALTH SYSTEM

Doing business as

AdventHealth Medical Group Primary Care at Founders

Practice address

1151 Aloha St
Ste 100
Castle Rock, CO 80108

Phone

(720) 330-1305

Fax

(720) 452-2079

NPI assigned

Nov 13, 2024

Last updated

Nov 13, 2024By 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 2

• AdventHealth Medical Group Primary Care at Founders Doing business as
• CRAH NHC FOUNDERS Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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.

• Kathryn Davis, PA-C

  • Surgical Physician Assistant
  • Lakewood, CO
  • NPI 1992272793
  NPD

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1275357576",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 ALOHA ST",
            "address_2": "STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "720-330-1305",
            "fax_number": "720-452-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-08",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Medical Group Primary Care at Founders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRAH NHC FOUNDERS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Portercare Adventist Health System (Ridgeline Family Medicine At The Meadows)
• Portercare Adventist Health System (AdventHealth Medical Group Family Medicine at Castle Rock)
• Portercare Adventist Health System (Neurosurgery One Castle Rock)
• Portercare Adventist Health System (Adventhealth Hematology and Oncology Castle Rock)
• Portercare Adventist Health System (AdventHealth Medical Group Sports Medicine at Castle Rock)
• Portercare Adventist Health System (Centura Health Physician Group Castle Rock Oncology)
• Portercare Adventist Health System (AdventHealth Medical Group Gastroenterology at Castle Rock)
• Portercare Adventist Health System (Adventhealth Lab)
• Portercare Adventist Health System (Etrk ENT CRK)
• Portercare Adventist Health System (Sdca Castlerock Clinic)

• Family Medicine Physician in Castle Rock, CO
• Providers in Castle Rock, 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 Nov 13, 2024; 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.