Portercare Adventist Health System · Cardiovascular Disease Physician

425 S Cherry St Ste 410, Glendale, CO 80246-1231

Overview

Portercare Adventist Health System is a Cardiovascular Disease Physician (organization) practicing in Glendale, Colorado. The National Provider Identifier (NPI) is #1003799735, which was assigned on July 29, 2025, and the registration record was last updated on July 29, 2025. The practitioner's main practice location is at 425 S Cherry St Ste 410, Glendale, CO 80246-1231; the contact telephone number is 3037441065, and the fax number is 3037331699. The primary taxonomy of Portercare Adventist Health System is Cardiovascular Disease Physician (207RC0000X), with specialization in Cardiovascular Disease. The authorized official for Portercare Adventist Health System is Jason Tacha (Coo).

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider Information

NPI 1003799735
Entity Type Organization
Organization Name PORTERCARE ADVENTIST HEALTH SYSTEM
Provider Name PORTERCARE ADVENTIST HEALTH SYSTEM
Practice Address 425 S Cherry St Ste 410
Glendale
CO 80246-1231
Practice Telephone 3037441065
Practice Fax Number 3037331699
Mailing Address Po Box 713425
Chicago
IL 60677-4325
Mailing Telephone 8009530104
Certification Date 2025-07-29
Enumeration Date 2025-07-29
Last Update Date 2025-07-29
Is Organization Subpart N

Authorized Official Information

Official Name JASON TACHA
Official Title COO
Telephone 3033047752

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207RC0000XInternal MedicineCardiovascular Disease193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
South Denver Cardiology Cherry CreekDoing Business As Name

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Portercare Adventist Health System 7000 E Hampden Ave, Denver, CO 80224-3003Urgent Care Clinic/Center2020-01-09
Portercare Adventist Health System 9695 S Yosemite St Ste 384, Lone Tree, CO 80124-2890General Acute Care Hospital2026-03-26
Portercare Adventist Health System 4350 Versailles St, Ste 100, Aurora, CO 80015Emergency Care Clinic/Center2025-09-11
Portercare Adventist Health System 419 S Washington St Ste 200, Casper, WY 82601-2951Transplant Surgery Physician2026-02-16
Portercare Adventist Health System 1760 Prairie Ave Ste 100, Cheyenne, WY 82009-4833Transplant Surgery Physician2026-02-12
Portercare Adventist Health System 850 E Harvard Ave Ste 305, Denver, CO 80210-5076Interventional Pain Medicine Physician2025-10-23
Portercare Adventist Health System 4141 Plum Creek Blvd, Castle Rock, CO 80104Emergency Care Clinic/Center2025-08-25
Portercare Adventist Health System 12596 W Bayaud Ave Ste 100, Lakewood, CO 80228-2035Urology Physician2025-12-16
Portercare Adventist Health System 7700 S Broadway, Littleton, CO 80122-2602Nurse Practitioner2025-12-31
Portercare Adventist Health System 9949 S Oswego St, Parker, CO 80134-3753Urgent Care Clinic/Center2020-01-31
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Taxonomy Information

Primary Taxonomy

Code 207RC0000X
Taxonomy Cardiovascular Disease Physician
Classification Internal Medicine
Specialization Cardiovascular Disease
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Imperial Valley Healthcare District 207 W Legion Rd, Brawley, CA 92227-7780Cardiovascular Disease Physician2026-04-02
Ally Care LLC 300 Health Way Dr, Potosi, MO 63664-1420Cardiovascular Disease Physician2026-03-31
Florida Nuclear Partners Professional Corporation 3700 Washington St Ste 100, Hollywood, FL 33021-8213Cardiovascular Disease Physician2026-03-31
Mona Kassem 15355 Prospect St, Dearborn, MI 48126-2955Cardiovascular Disease Physician2026-03-19
Amal Heart PC 23 Corporate Plaza Dr, Newport Beach, CA 92660-7911Cardiovascular Disease Physician2026-04-02
Adventist Physician Service, Inc 299 Hurley Ave, Rockville, MD 20850-3118Cardiovascular Disease Physician2026-03-20
Adventist Physician Services, Inc 19801 Observation Dr, Germantown, MD 20876-4070Cardiovascular Disease Physician2026-03-20
Eh Medical Group LLC 15815 Shaddock Dr Ste 130, Winter Garden, FL 34787-5773Cardiovascular Disease Physician2026-03-25
Cardiology Specialists of North Texas, PLLC 1102 N Galloway Ave, Mesquite, TX 75149-2436Cardiovascular Disease Physician2026-04-03
Young Kim Md Inc 2400 Samaritan Dr Ste 100, San Jose, CA 95124-3910Cardiovascular Disease Physician2026-03-25
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Location Information

Street Address 425 S CHERRY ST STE 410
City GLENDALE
State CO
Zip Code 80246-1231
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Paige Conner 400 S Colorado Blvd Ste 640, Glendale, CO 80246-1239Physical Therapist2021-08-03
Emily Ann Brookshire 425 S Cherry St Fl 10, Denver, CO 80246-1226Psychiatric/Mental Health Nurse Practitioner2024-07-20
Andia Lybeshari 400 S Colorado Blvd Ste 600, Denver, CO 80246-1239Psychiatry Physician2026-02-23
Kayla E. Sherman 400 S Colorado Blvd Ste 600, Denver, CO 80246-1239Physician Assistant2021-03-04
Melissa Marie Stroup · Melissa Marie Herbert 425 S Cherry St Ste 700, Glendale, CO 80246-1234Dentist2017-06-26
Caroline Whitlock 400 S Colorado Blvd Ste 600, Denver, CO 80246-1239Mental Health Counselor2026-03-18
Shara Ogin 71 S Fairfax St, Denver, CO 80246-1138Occupational Therapist2008-10-31
Justin Ryan Potocki 400 S Colorado Blvd Ste 640, Glendale, CO 80246-1239Physical Therapist2021-07-26
Teresa Shultz 400 S Colorado Blvd Ste 640, Glendale, CO 80246-1239Physical Therapist2025-12-03
Patient Shield Concepts, LLC 161 S Glencoe St, Denver, CO 80246-1152Public Health or Welfare Agency2026-02-09
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Adventist Health System/Sunbelt, Inc. 40219 Highway 27, Suite 101, Davenport, FL 33837Pediatrics Physician2025-11-03
Adventist Health System/ Sunbelt, Inc. 3310 Wedgewood Ln, The Villages, FL 32162-7178Pediatrics Physician2025-11-12
Adventist Health System-Sunbelt Inc 735 S 5th Ave, Wauchula, FL 33873-3158Critical Access Hospital2006-09-19
Adventist Health System/Sunbelt, Inc. 40219 Us 27, Suite 102, Davenport, FL 33837Pediatrics Physician2026-01-26
Adventist Health System-Sunbelt Inc 2293 Sand Lake Rd, Orlando, FL 32809-7637Non-Pharmacy Dispensing Site2026-01-20
Adventist Health System/Sunbelt, Inc 2364 State Road 44, New Smyrna Beach, FL 32168Pediatrics Physician2025-11-25
Adventist Health System /Sunbelt, Inc. 35716 Us Hwy 27 N, Haines City, FL 33844-3733Family Medicine Physician2025-08-21
Adventist Health System /Sunbelt, Inc. 5851 State Highway 100 E Ste A, Palm Coast, FL 32164-2448Pediatrics Physician2025-07-18
Adventist Health System-Sunbelt, Inc 601 E Rollins St, Orlando, FL 32803-1248Land Ambulance2006-09-29
Adventist Health System/Sunbelt, Inc 3380 South Us Highway 27, Clermont, FL 34711Pediatrics Physician2025-04-29

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.