# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AdventHealth Medical Group Colorado Joint Replacement at Lakewood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174488852
- **Authorized official:** JASON TACHA (COO)
- **Authorized official phone:** (303) 304-7752

## Contact information

- **Practice address:** 12596 W BAYAUD AVE STE 100, LAKEWOOD, CO 80228-2035
- **Practice address phone:** (720) 524-1367
- **Practice address fax:** (720) 524-1422
- **Mailing address:** PO BOX 713425, CHICAGO, IL 60677-4325
- **Mailing address phone:** (800) 953-0104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2025
- **Last updated:** 12/16/2025