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NPI 1497498653 · live from the CMS NPI Registry

Portercare Adventist Health System

Orthopaedic Surgery in Cheyenne, WY. National Provider Identifier 1497498653, active.

NPI record

NPI1497498653 Type 2 · organization
StatusActive
Primary specialtyOrthopaedic Surgery 207X00000X
Practice location4028 Laramie St, Cheyenne, WY 82001
Practice phone720-524-1367
Mailing addressPo Box 713425, Chicago, IL 60677
EnumeratedApril 15, 2022
Last updatedAugust 12, 2026
Authorized officialJason Tacha, Coo
Other namesAdventhealth Medical Group Colorado Joint Replacement At Cheyenne

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery primary207X00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.