NPI 1194454512

Portercare Adventist Health System

Organisation Neurological Surgery Physician Castle Rock, CO

Practice location

Address: 4350 Limelight Ave STE 100, Castle Rock, CO 80109-8034
Phone: (720) 638-7500
Fax: (720) 484-6918
Mailing address: PO Box 713425, Chicago, IL 60677-4325

Authorised official

Name: Jason Tacha
Title: Coo
Phone: (303) 304-7752

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Colorado →

Registry record

NPI: 1194454512
Entity type: Organization
NPI issued: 9 Jun 2022
Record last updated: 9 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.