Organization · Type 2 NPI

Portercare Adventist Health System

Family Medicine Physician · Castle Rock, CO

NPI number 1730704479 Active

Practice location

4344 Woodlands Blvd Ste 260
Castle Rock, CO 80104-2801

Call (303) 649-3155 Map

Fax (303) 649-3156

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Pediatrics Physician	208000000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Castle Rock

See all in Castle Rock →

NPI record

NPI: 1730704479
Entity type: Organization (Type 2)
Issued: Jun 9, 2020
Last updated: Aug 12, 2026
Status: Active

Other names

<unavail>
Adventhealth Medical Group Family Medicine at Woodlands · doing business as
PRWL PC Woodlands · doing business as

Authorized official

Mr. Jason Tacha
COO
(303) 304-7752

Verify this record

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 1730704479

Portercare Adventist Health System's National Provider Identifier is 1730704479, issued on Jun 9, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Castle Rock, CO. The record was last updated on Aug 12, 2026.