Portercare Adventist Health System
Organization Active NPI Gastroenterology Physician · Westminster, CO
NPI 1992314801 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1992314801
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Practice address
- 7233 Church Ranch Blvd
Westminster, CO 80021-4094 - Phone
- (303) 269-2085
- Fax
- (303) 269-2089
- NPI assigned
- Jul 27, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason Tacha
- Title
- Coo
- Phone
- (303) 304-7752
Corporate family (same tax ID) 15
Practitioners 20
-
Carrie A Allen, P.A.
-
Anthony W Cooper II, D.O.
-
Raili C Donnelly, PA-C
-
Chelsea L. Floyd, PA-C
-
Monique E Fox, MD
-
Nancy Wilcox Hooyman, M.D.
-
Emily Justice, NP
-
Jay A. Kutnick, MD
-
Marcus Michael Lyon, D.O.
-
Kathryn Ashley Reitz, D.O.
-
Kevin Michael Rufner, MD, MPH
-
Amanda Rutherford, PHYSICIAN ASSISTANT
-
Kate Alana Setter, FNP-C
-
Tara Suzanne Wiebe, M.D.
-
Jelena A Licina, MD
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 |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
7233 Church Ranch Blvd
Westminster, CO 80021-4094
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Phone (800) 953-0104
Other names
- AdventHealth Medical Group Gastroenterology at Church Ranch
- CHPG Church Ranch Gastroenterology
Other providers in Westminster, CO
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Portercare Adventist Health System
- Alexandria Potesta
- Potomac Square Family Medicine, LLC
- Tony Ray Potter
- Tracie Potter
- Shreyash Pradhan
All providers in Westminster, CO · Gastroenterology 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 Aug 12, 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.