Organization · Type 2 NPI

Portercare Adventist Health System

Obstetrics & Gynecology Physician · Louisville, CO

NPI number 1639788045 Active

Practice location

90 Health Park Dr Ste 260
Louisville, CO 80027-4521

Call (303) 649-3180 Map

Fax (303) 269-2790

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 other providers at this address

Other obstetrics & gynecology physician providers in Louisville

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NPI record

NPI: 1639788045
Entity type: Organization (Type 2)
Issued: Jul 31, 2020
Last updated: Aug 14, 2026
Status: Active

Other names

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Adventhealth Medical Group Ob/gyn at Louisville · doing business as
Whlo WH Louisville · doing business as

Authorized official

Mr. Jason Tacha
COO
(303) 304-7752

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639788045

Portercare Adventist Health System's National Provider Identifier is 1639788045, issued on Jul 31, 2020. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Louisville, CO. The record was last updated on Aug 14, 2026.