Portercare Adventist Health System · Urology Physician

12596 W Bayaud Ave Ste 100, Lakewood, CO 80228-2035

Overview

Portercare Adventist Health System is a Urology Physician (organization) practicing in Lakewood, Colorado. The National Provider Identifier (NPI) is #1942165626, which was assigned on December 16, 2025, and the registration record was last updated on December 16, 2025. The practitioner's main practice location is at 12596 W Bayaud Ave Ste 100, Lakewood, CO 80228-2035; the contact telephone number is 3038258822, and the fax number is 3038254022. The primary taxonomy of Portercare Adventist Health System is Urology Physician (208800000X). The authorized official for Portercare Adventist Health System is Jason Tacha (Coo).

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Provider Information

NPI 1942165626
Entity Type Organization
Organization Name PORTERCARE ADVENTIST HEALTH SYSTEM
Provider Name PORTERCARE ADVENTIST HEALTH SYSTEM
Practice Address 12596 W Bayaud Ave Ste 100
Lakewood
CO 80228-2035
Practice Telephone 3038258822
Practice Fax Number 3038254022
Mailing Address Po Box 713425
Chicago
IL 60677-4325
Mailing Telephone 8009530104
Certification Date 2025-12-16
Enumeration Date 2025-12-16
Last Update Date 2025-12-16
Is Organization Subpart N

Authorized Official Information

Official Name JASON TACHA
Official Title COO
Telephone 3033047752

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208800000XUrology193200000X MULTI-SPECIALTY GROUP

Other Provider Names

Other Organization NameType
AdventHealth Medical Group Urology at LakewoodDoing Business As Name

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Portercare Adventist Health System 425 S Cherry St Ste 410, Glendale, CO 80246-1231Cardiovascular Disease Physician2025-07-29
Portercare Adventist Health System 4350 Versailles St, Ste 100, Aurora, CO 80015Emergency Care Clinic/Center2025-09-11
Portercare Adventist Health System 9395 Crown Crest Blvd, Parker, CO 80138-8573Nurse Practitioner2025-12-31
Portercare Adventist Health System 7750 S Broadway Ste 200, Littleton, CO 80122-2630Urology Physician2020-07-30
Portercare Adventist Health System 2350 Meadows Blvd, Castle Rock, CO 80109-8405Cardiovascular Disease Physician2026-01-09
Portercare Adventist Health System 9980 Park Meadows Dr Ste 101, Lone Tree, CO 80124-8404Interventional Pain Medicine Physician2025-09-30
Portercare Adventist Health System 2356 Meadows Blvd Ste 100b, Castle Rock, CO 80109-8410Gastroenterology Physician2020-07-30
Portercare Adventist Health System 4141 Plum Creek Blvd, Castle Rock, CO 80104Emergency Care Clinic/Center2025-08-25
Portercare Adventist Health System 7700 S Broadway, Littleton, CO 80122-2602Cardiovascular Disease Physician2026-01-09
Portercare Adventist Health System 1760 Prairie Ave Ste 100, Cheyenne, WY 82009-4833Transplant Surgery Physician2026-02-12
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Taxonomy Information

Primary Taxonomy

Code 208800000X
Taxonomy Urology Physician
Classification Urology
Grouping Allopathic & Osteopathic Physicians
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Poudre Valley Medical Group, LLC 1760 E Ken Pratt Blvd Ste 401, Longmont, CO 80504-5311Urology Physician2026-03-05
Idaho Urology 1 PLLC 30 Madison Professional Park, Rexburg, ID 83440-2058Urology Physician2026-02-19
Michigan Institute of Urology, PC 29275 Northwestern Hwy Ste 120, Southfield, MI 48034-1044Urology Physician2026-03-13
Anna Kathryn Smith 1000 Ochsner Blvd, Covington, LA 70433-8107Urology Physician2026-03-02
Yu Guang Tan Dumc 3707, Durham, NC 27710-0001Urology Physician2026-02-20
Emerald Coast Urology, LLC 435 Brookmeade Dr, Crestview, FL 32539-7304Urology Physician2026-02-24
Bonner General Hospital, Inc 423 N 3rd Ave Ste 110, Sandpoint, ID 83864-1511Urology Physician2026-04-10
Julian Andres Chavarriaga Soto 429 N 21st St, Camp Hill, PA 17011-2202Urology Physician2026-04-09
Monongalia County General Hospital Company 2000 Mon Health Medical Park Dr Ste 2402, Morgantown, WV 26505-1168Urology Physician2026-02-19
Tri State Urologic Services Psc Inc 9228 Centre Pointe Dr, West Chester, OH 45069-4864Urology Physician2026-03-09
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Location Information

Street Address 12596 W BAYAUD AVE STE 100
City LAKEWOOD
State CO
Zip Code 80228-2035
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Portercare Adventist Health System 12596 W Bayaud Ave Ste 100, Lakewood, CO 80228-2035Interventional Pain Medicine Physician2025-09-30
Portercare Adventist Health System 12596 W Bayaud Ave Ste 100, Lakewood, CO 80228-2035Orthopaedic Surgery Physician2025-12-16
Tessa Suzanne Henderson · Tessa Suzanne Meunier, Houle 12596 W Bayaud Ave Ste 100, Lakewood, CO 80228-2035Acute Care Nurse Practitioner2013-06-21

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Giselle Holmes 421 Zang St, Lakewood, CO 80228-1052Mental Health Counselor2025-12-05
Jasmyn Michele Glaze 421 Zang St, Lakewood, CO 80228-1052Mental Health Counselor2026-03-26
Jacob R Blount 247 Union Blvd, Suite 200, Lakewood, CO 80228Internal Medicine Physician2016-03-24
Michelle Martinez 421 Zang St, Lakewood, CO 80228-1052Mental Health Counselor2026-03-21
Melaina Dawn Baird 421 Zang St, Lakewood, CO 80228-1052Addiction (Substance Use Disorder) Counselor2025-07-24
Orthocolorado, LLC 11650 West 2nd Pl, Lakewood, CO 80228Special Hospital2010-01-06
Ladeshadae Smith 421 Zang St, Lakewood, CO 80228-1052Behavior Technician2025-12-26
Mason Jordan · Robert Mason Toth 421 Zang St, Lakewood, CO 80228-1052Addiction (Substance Use Disorder) Counselor2025-08-02
Felicity Mensah-Bonsu 421 Zang St, Lakewood, CO 80228-1052Mental Health Counselor2025-12-22
Select Physical Therapy of West Denver Limited Partnership 255 Union Blvd, Ste 110, Lakewood, CO 80228Rehabilitation Clinic/Center2006-03-16
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Adventist Health System-Sunbelt Inc 12242 S Orange Ave, Orlando, FL 32824-5723Non-Pharmacy Dispensing Site2026-01-20
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Adventist Health System/Sunbelt, Inc. 40219 Us 27, Suite 102, Davenport, FL 33837Pediatrics Physician2026-01-26

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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.