Active NPI
Portercare Adventist Health System
Doing business as AdventHealth Medical Group Timberview Internal Medicine & Pediatrics at Parker
- Family Medicine Physician
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Doing business as
- AdventHealth Medical Group Timberview Internal Medicine & Pediatrics at Parker
PRTV PC Timberview - Practice address
- 9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048 - Phone
- (303) 269-4410
- Fax
- (303) 269-4411
- NPI assigned
- Apr 29, 2013
- Last updated
- Aug 12, 2026
- Organization subpart
- No
NPPES NPI Registry
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Pediatrics Physician | 208000000X | |||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names 2
- AdventHealth Medical Group Timberview Internal Medicine & Pediatrics at Parker
- PRTV PC TIMBERVIEW
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider DirectoryLocations
15901 E Briarwood Cir
Unit 10
Aurora, CO 80016
100 Founders Pkwy
Castle Rock, CO 80104
Phone (303) 658-9799
831 S Perry St
Ste 200
Castle Rock, CO 80104
Phone (303) 218-7774
6909 S Holly Cir
Centennial, CO 80112
2490 W 26th Ave
Ste A205
Denver, CO 80211
5570 Dtc Pkwy
Greenwood Village, CO 80111
Phone (303) 925-4960
8200 E Belleview Ave
Ste 100
Greenwood Village, CO 80111
8200 E Belleview Ave
Ste 100E
Greenwood Village, CO 80111
Phone (303) 649-3710
9137 Ridgeline Blvd
Ste 100
Highlands Ranch, CO 80129
Phone (303) 330-0271
511 Crossing Dr
Ste 202
Lafayette, CO 80026
Phone (303) 269-2875
10789 Bradford Rd
Ste 150
Littleton, CO 80127
Phone (303) 738-2714
9695 S Yosemite St
Ste 255A
Lone Tree, CO 80124
9403 Crown Crest Blvd
Ste 300M
Parker, CO 80138
Practitioners & affiliated clinicians
Practitioners 19
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.
-
- Family Medicine Physician
- Highlands Ranch, CO
- NPI 1003357286
-
- Acute Care Nurse Practitioner
- Littleton, CO
- NPI 1346683653
-
- Adult Health Nurse Practitioner
- Parker, CO
- NPI 1831574839
-
- Nurse Practitioner
- Littleton, CO
- NPI 1508097338
-
- Family Medicine Physician
- Aurora, CO
- NPI 1538273644
-
- Family Nurse Practitioner
- Parker, CO
- NPI 1619657582
-
- Physician Assistant
- Greenwood Village, CO
- NPI 1528383304
-
- Nurse Practitioner
- Aurora, CO
- NPI 1982123949
-
- Women's Health Nurse Practitioner
- Parker, CO
- NPI 1346920832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1851735260",
"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": "9403 CROWN CREST BLVD STE 300",
"city": "PARKER",
"state": "CO",
"postal_code": "801389048",
"telephone_number": "303-269-4410",
"fax_number": "303-269-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-29",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AdventHealth Medical Group Timberview Internal Medicine & Pediatrics at Parker",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PRTV PC TIMBERVIEW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Parker, CO
- Portercare Adventist Health System (AdventHealth Medical Group Internal Medicine at Parker)
- Portercare Adventist Health System (AdventHealth Hematology and Oncology Parker)
- Portercare Adventist Health System (AdventHealth Medical Group Cardiac Stress Testing at Parker)
- Portercare Adventist Health System (AdventHealth Medical Group Colorectal Surgery at Parker)
- Portercare Adventist Health System (AdventHealth Medical Group Urology at Parker)
- Portercare Adventist Health System (Parker Primary Care)
- Portercare Adventist Health System (AdventHealth Medical Group Hospitalists at Parker)
- Portercare Adventist Health System (Aspen Crest Health)
- Portercare Adventist Health System (South Denver Cardiology Associates - Parker)
- Portercare Adventist Health System (AdventHealth Medical Group Orthopedic Trauma at Parker)
Sources for this page
- 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.