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PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1417821752
Pain Medicine - Interventional Pain Medicine in Lakewood, CO

Active since September 30, 2025
12596 W BAYAUD AVE STE 100, LAKEWOOD, CO 80228(720) 638-7500(720) 812-5134 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 1417821752), doing business as Neurosurgery One Interventional Pain Lakewood, is a healthcare organization registered as an interventional pain medicine in Lakewood, Colorado and active in the NPI registry since September 2025. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1417821752
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM
Location Address12596 W BAYAUD AVE STE 100Lakewood, CO 80228-2035
Mailing AddressPo Box 713425Chicago, IL 60677-4325 · (800) 953-0104
Phone(720) 638-7500
Fax(720) 812-5134
Organization SubpartNo
Authorized OfficialJason TachaCoo · (303) 304-7752
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1417821752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
12596 W BAYAUD AVE STE 100, Lakewood, CO 80228
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Other Names 1

Doing Business AsNeurosurgery One Interventional Pain Lakewood

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 7

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

TESSA SUZANNE HENDERSON NP
Nurse Practitioner (Family)
12596 W BAYAUD AVE STE 100
LAKEWOOD, CO 80228
Jefferson County (303) 649-3050
PORTERCARE ADVENTIST HEALTH SYSTEM
Orthopaedic Surgery
12596 W BAYAUD AVE STE 100
LAKEWOOD, CO 80228
Jefferson County (720) 524-1367
PORTERCARE ADVENTIST HEALTH SYSTEM
Neurological Surgery
12596 W BAYAUD AVE STE 100
LAKEWOOD, CO 80228
Jefferson County (720) 638-7500
JOSHUA MARSHALL BECKMAN MD
Neurological Surgery
12596 W BAYAUD AVE STE 100
LAKEWOOD, CO 80228
Jefferson County (720) 638-7500
YULIYA Y RIVAS PA
Physician Assistant
12596 W BAYAUD AVE STE 100
LAKEWOOD, CO 80228
Jefferson County (720) 638-7500
PORTERCARE ADVENTIST HEALTH SYSTEM
Urology
12596 W BAYAUD AVE STE 100
LAKEWOOD, CO 80228
Jefferson County (303) 825-8822
NICOLE TUCKER PA-C
Physician Assistant
12596 W BAYAUD AVE STE 100
LAKEWOOD, CO 80228
Jefferson 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 1417821752. It was assigned to this organization in the NPPES registry on September 30, 2025. The provider is doing business as Neurosurgery One Interventional Pain Lakewood.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 12596 W Bayaud Ave Ste 100, Lakewood, CO 80228. The listed phone number is (720) 638-7500.

What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Portercare Adventist Health System was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.