OrganizationActive
Portercare Adventist Health System
NPI 1619736725 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Castle Rock, CO
Provider details
- NPI number
- 1619736725
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jason Tacha, Coo
Practice location
2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone: (303) 649-3575
Fax: (720) 993-4023
Mailing address
Po Box 713425
Chicago, IL 60677-4325
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2025-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.