PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1104661370
Urology in Lone Tree, CO

Active since June 28, 2024
9695 S YOSEMITE ST STE 359, LONE TREE, CO 80124(303) 825-8822(303) 825-4022 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Urology

About PORTERCARE ADVENTIST HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Portercare Adventist Health System, a provider established in Lone Tree, Colorado operating as a Urology. The healthcare provider is registered in the NPI registry with number 1104661370 assigned on June 2024. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Portercare Adventist Health System operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Jason Tacha (Coo)

NPI
1104661370 Verify this NPI
Provider Name
PORTERCARE ADVENTIST HEALTH SYSTEM
Entity Type
Organization
Location Address
9695 S YOSEMITE ST STE 359 LONE TREE, CO 80124
Location Phone
(303) 825-8822
Location Fax
(303) 825-4022
Mailing Address
PO BOX 713425 CHICAGO, IL 60677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2024
Last Update Date
06-28-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JASON TACHA

Authorized Official Title
COO
Authorized Official Phone
(303) 304-7752

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Urology
9695 S YOSEMITE ST STE 359
LONE TREE, CO 80124
Obstetrics & Gynecology
9695 S YOSEMITE ST STE 359
LONE TREE, CO 80124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104661370, enumerated as an "organization" on June 28, 2024.

The provider is located at 9695 S YOSEMITE ST STE 359 LONE TREE, CO 80124 and the phone number is (303) 825-8822.

Urology with taxonomy code 208800000X.