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PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1417761958
Obstetrics & Gynecology - Gynecologic Oncology in Parker, CO

Active since February 05, 2025
9403 CROWN CREST BLVD STE 200, PARKER, CO 80138(303) 715-2365(303) 715-2375 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portercare Adventist Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI 1417761958), doing business as Adventhealth Medical Group Gynecologic Oncology At Parker, is a healthcare organization registered as a gynecologic oncology in Parker, Colorado and active in the NPI registry since February 2025. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1417761958
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM
Location Address9403 CROWN CREST BLVD STE 200Parker, CO 80138-8991
Mailing AddressPo Box 713425Chicago, IL 60677-4325
Phone(303) 715-2365
Fax(303) 715-2375
Organization SubpartNo
Authorized OfficialJason TachaCoo · (303) 304-7752
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1417761958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
9403 CROWN CREST BLVD STE 200, Parker, CO 80138
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Other Names 1

Doing Business AsAdventhealth Medical Group Gynecologic Oncology At Parker

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOLAND PA-C
Physician Assistant (Surgical)
9403 CROWN CREST BLVD STE 200
PARKER, CO 80138
Douglas County (720) 638-7500
REBECCA KAITLIN DOUGLAS PA-C
Physician Assistant
9403 CROWN CREST BLVD STE 200
PARKER, CO 80138
Douglas County (720) 638-7500
BETSY RENE MENDENHALL WHNP
Nurse Practitioner (Women's Health)
9403 CROWN CREST BLVD STE 200
PARKER, CO 80138
Douglas County (720) 721-1670
ANDREA KESSEL WHNP
Nurse Practitioner (Women's Health)
9403 CROWN CREST BLVD STE 200
PARKER, CO 80138
Douglas County (303) 840-8780
PORTER ADVENTIST HEALTH SYSTEM
Neurological Surgery
9403 CROWN CREST BLVD STE 200
PARKER, CO 80138
Douglas County (720) 638-7500
AMANDA MAY UPTHEGROVE LCSW
Social Worker (Clinical)
9403 CROWN CREST BLVD STE 200
PARKER, CO 80138
Douglas County (303) 840-8780
KAITLYN MARIE KALAMULA PA-C
Physician Assistant
9403 CROWN CREST BLVD STE 200
PARKER, CO 80138
Douglas County (303) 269-2820
PORTERCARE ADVENTIST HEALTH SYSTEM
Pain Medicine (Interventional Pain Medicine)
9403 CROWN CREST BLVD STE 200
PARKER, CO 80138
Douglas County (720) 638-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portercare Adventist Health System's NPI number?

The NPI number for Portercare Adventist Health System is 1417761958. It was assigned to this organization in the NPPES registry on February 5, 2025. The provider is doing business as AdventHealth Medical Group Gynecologic Oncology at Parker.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 9403 Crown Crest Blvd Ste 200, Parker, CO 80138. The listed phone number is (303) 715-2365.

What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Portercare Adventist Health System was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.