Portercare Adventist Health System
NPI 1417821752ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Lakewood, CO
Pain Medicine, Interventional Pain Medicine in Lakewood, Colorado, registered in NPPES in September 2025. The authorized official on file is Jason Tacha, Coo.
Overview
| NPI | 1417821752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2025 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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