Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Portercare Adventist Health System

Organization Family Medicine Physician · NPI 1174280424

Portercare Adventist Health System provides Family Medicine Physician services in Glendale, Colorado. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

425 S Cherry St Ste 410
Glendale, CO 80246-1231
Phone: (303) 333-3388
Fax: (303) 333-5094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174280424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Tacha — Coo · (303) 304-7752
Other names Fpcc Fp Cherry Creek; Centura Cherry Creek Family Practice
NPI enumeratedNovember 22, 2021
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing addressPo Box 713425, Chicago, IL 60677-4325

Other providers in Glendale