Organization · Type 2 NPI

Portercare Adventist Health System

Family Medicine Physician · Greenwood Village, CO

NPI number 1770194045 Active

Practice location

5351 S Roslyn St Ste 200
Greenwood Village, CO 80111-2132

Call (303) 770-6500 Map

Fax (303) 770-2211

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
Geriatric Medicine (Internal Medicine) Physician	207RG0300X	None listed
Pediatrics Physician	208000000X	None listed
Psychiatry Physician	2084P0800X	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.

11 other providers at this address

Other family medicine physician providers in Greenwood Village

See all in Greenwood Village →

NPI record

NPI: 1770194045
Entity type: Organization (Type 2)
Issued: Aug 11, 2020
Last updated: Aug 14, 2026
Status: Active

Other names

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Adventhealth Medical Group Primary Care at Landmark · doing business as
Centura Primary Care Landmark · other name

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 1770194045

Portercare Adventist Health System's National Provider Identifier is 1770194045, issued on Aug 11, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Greenwood Village, CO. The record was last updated on Aug 14, 2026.