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Portercare Adventist Health System

Organization Active NPI Obstetrics & Gynecology Physician · Aurora, CO

NPI 1811289366 · NPPES record last updated Aug 13, 2026

Key facts

NPI
1811289366
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
PORTERCARE ADVENTIST HEALTH SYSTEM
Practice address
15901 E Briarwood Cir Ste 200
Aurora, CO 80016-1785
Phone
(720) 851-8230
Fax
(720) 851-8970
NPI assigned
May 3, 2011
Organization subpart
No

Authorized official

Name
Mr. Jason Tacha
Title
Coo
Phone
(303) 304-7752

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 524

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 524

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090115000327 CO Part B Supplier - Clinic/Group Practice 0941110886 Receives reassigned benefits from 869 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Avista Adventist Hospital (210 organizations share this tax ID)

Locations

10333 E Dry Creek Rd
Ste 100
Englewood, CO 80112
Phone (303) 643-0941

7720 S Broadway
Ste 190
Littleton, CO 80122
Phone (303) 253-7590

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207V00000X Yes

Addresses

Primary practice location

15901 E Briarwood Cir Ste 200
Aurora, CO 80016-1785

Mailing address

PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104

Other names

  • AdventHealth Medical Group OB/GYN at Cornerstar Doing business as
  • Centura Health Physician Group Cornerstar Women's Health Other name

Other providers in Aurora, CO

All providers in Aurora, CO · Obstetrics & Gynecology Physician in Colorado

Sources for this page

Verify at the official NPI Registry.