# PORTERCARE ADVENTIST HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AdventHealth Medical Group Ear, Nose & Throat at Parker, ETPK ENT PKR, CHPG SPC Metro A, Colorado ENT Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972112472
- **Authorized official:** MR. JASON TACHA (COO)
- **Authorized official phone:** (303) 304-7752

## Contact information

- **Practice address:** 9403 CROWN CREST BLVD STE 300, PARKER, CO 80138-9048
- **Practice address phone:** (720) 274-2544
- **Practice address fax:** (720) 274-2541
- **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 |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2020
- **Last updated:** 08/12/2026