Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1477208320
Internal Medicine in Highlands Ranch, CO

Q: What is Portercare Adventist Health System's NPI number?

The NPI number for Portercare Adventist Health System is 1477208320. It was assigned to this organization in the NPPES registry on February 18, 2022. The provider is doing business as Spim S Park Int Med and AdventHealth Medical Group Internal Medicine at Highlands Ranch. The provider is also known as Centura Southpark Internal Medicine.

Q: What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 18, 2022

9088 RIDGELINE BLVD STE 201, HIGHLANDS RANCH, CO 80129(720) 266-6900(303) 791-9920 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Feb 18, 2022 (2 updates tracked since 2022).

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About Portercare Adventist Health System NPPES

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

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI 1477208320), doing business as Spim S Park Int Med, is a healthcare organization registered as an internal medicine in Highlands Ranch, Colorado and active in the NPI registry since February 2022. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1477208320

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM

Location Address9088 RIDGELINE BLVD STE 201Highlands Ranch, CO 80129-2380

Mailing AddressPo Box 713425Chicago, IL 60677-4325 · (800) 953-0104 · Fax (303) 765-6670

Phone(720) 266-6900

Fax(303) 791-9920

Organization SubpartNo

Authorized OfficialJason TachaCoo · (303) 304-7752

Enumeration DateFebruary 18, 2022

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1477208320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9088 RIDGELINE BLVD STE 201, Highlands Ranch, CO 80129

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Other Names 3

Doing Business AsSpim S Park Int Med

Other NameCentura Southpark Internal Medicine

Doing Business AsAdventhealth Medical Group Internal Medicine At Highlands Ranch

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 9

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

ROBERTA GRABOCKA

Physician Assistant