# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AdventHealth Medical Group Colorectal Surgery at Castle Rock, AdventHealth Medical Group Colorectal at Castle Rock
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700567955
- **Authorized official:** MR. JASON TACHA (COO)
- **Authorized official phone:** (303) 304-7752

## Contact information

- **Practice address:** 2352 MEADOWS BLVD STE 300, CASTLE ROCK, CO 80109-8419
- **Practice address phone:** (303) 320-0699
- **Practice address fax:** (303) 320-0897
- **Mailing address:** PO BOX 713425, CHICAGO, IL 60677-4325
- **Mailing address phone:** (800) 953-0104
- **Mailing address fax:** (303) 765-6670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2023
- **Last updated:** 08/12/2026