Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Portercare Adventist Health System

Organization Family Medicine Physician · NPI 1174280424

Portercare Adventist Health System is a Family Medicine Physician in Glendale, Colorado. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

425 S Cherry St Ste 410
Glendale, CO 80246-1231
Phone: (303) 333-3388
Fax: (303) 333-5094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174280424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Tacha — Coo · (303) 304-7752
Other names Fpcc Fp Cherry Creek; Centura Cherry Creek Family Practice
NPI enumeratedNovember 22, 2021
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing addressPo Box 713425, Chicago, IL 60677-4325

Other providers in Glendale