OrganizationActive
Portercare Adventist Health System
NPI 1578437802 · Interventional Pain Medicine Physician · Lone Tree, CO
Provider details
- NPI number
- 1578437802
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jason Tacha, Coo
Practice location
9980 Park Meadows Dr Ste 101
Lone Tree, CO 80124-8404
Phone: (720) 638-7500
Mailing address
Po Box 713425
Chicago, IL 60677-4325
Registry dates
- Enumerated
- 2025-09-30
- Last updated
- 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.