OrganizationActive
Portercare Adventist Health System
NPI 1417821752 · Interventional Pain Medicine Physician · Lakewood, CO
Provider details
- NPI number
- 1417821752
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Tacha, Coo(303) 304-7752
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035
Phone: (720) 638-7500
Fax: (720) 812-5134
Street-level locationGet directions
Mailing address
Po Box 713425
Chicago, IL 60677-4325
Other names (DBA / former)
- Doing business as
- Neurosurgery One Interventional Pain Lakewood
Registry dates
- Enumerated
- 2025-09-30
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.