Portercare Adventist Health System
Neurological Surgery in Castle Rock, CO. Organization (NPI-2).
NPI number1194454512
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1194454512
- Entity type
- Organization (NPI-2)
- Legal business name
- Portercare Adventist Health System
- Organization subpart
- No
- Enumeration date
- Jun 9, 2022
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Other names
- Neurosurgery One Castle Rock (Doing Business As)
Practice location
4350 Limelight Ave Ste 100Castle Rock, CO 80109-8034
Phone 720-638-7500 · Fax 720-484-6918
Mailing address
Po Box 713425Chicago, IL 60677-4325
Phone 800-953-0104 · Fax 303-765-6670
Authorized official
Jason Tacha
Coo
3033047752
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All 14 Neurological Surgery Physician providers in Castle Rock · All 1,947 providers in Castle Rock
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