Portercare Adventist Health System
Organization Active NPI Orthopaedic Trauma Physician · Parker, CO
NPI 1902742299 · NPPES record last updated Apr 28, 2026
Key facts
- NPI
- 1902742299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Trauma Physician 207XX0801X
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 9397 Crown Crest Blvd Ste 220
Parker, CO 80138-8576 - Phone
- (303) 765-6139
- Fax
- (303) 481-6835
- NPI assigned
- Apr 28, 2026
- Organization subpart
- No
Authorized official
- Name
- Jason Tacha
- Title
- Coo
- Phone
- (303) 304-7752
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| 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
- Tax ID family
- Avista Adventist Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | |||
| Orthopaedic Trauma Physician |
207XX0801X | Yes |
Addresses
Primary practice location
9397 Crown Crest Blvd Ste 220
Parker, CO 80138-8576
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names
- AdventHealth Medical Group Orthopedic Trauma at Parker
Other providers in Parker, CO
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Tracie Posehn
- Shelly Eileen Posey
All providers in Parker, CO · Orthopaedic Trauma Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.