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

Portercare Adventist Health System

Organization Orthopaedic Surgery Physician · NPI 1174488852

Portercare Adventist Health System is an Orthopaedic Surgery Physician in Lakewood, Colorado. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035
Phone: (720) 524-1367
Fax: (720) 524-1422
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1174488852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Tacha — Coo · (303) 304-7752
Other names Adventhealth Medical Group Colorado Joint Replacement At Lakewood
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing addressPo Box 713425, Chicago, IL 60677-4325

Other providers in Lakewood