Intermountain Medical Group Denver, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Practice address

1536 Cole Blvd Ste 250
Lakewood, CO 80401-3426

Phone

(303) 716-8027

Fax

(303) 238-5258

NPI assigned

Aug 17, 2021

Organization subpart

Yes

Parent organization

INTERMOUNTAIN FRONT RANGE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jon McDaniel

Title

VP Finance Med Group

Phone

(303) 272-0231

Specialties & licenses 1

Addresses

Other names 1

• New West Physician Specialty Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Part of

Lutheran Medical Center

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Crandall, PT, DPT

  • Physical Therapist
  • Denver, CO
  • NPI 1649525692
  NPD
• Jinhee Noh

  • Physical Therapist
  • Denver, CO
  • NPI 1861151706
  NPD
• Colin Flynn Mahoney, PT

  • Physical Therapist
  • Silverdale, WA
  • NPI 1992370308
  NPD
• Firas R Muwalla, MD

  • Hematology & Oncology Physician
  • Merritt Island, FL
  • NPI 1013979566
  NPD
• Sarah Strailey

  • Family Medicine Physician
  • Austin, TX
  • NPI 1215382940
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1013683465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD STE 6300",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213422",
            "telephone_number": "303-272-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 COLE BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013426",
            "telephone_number": "303-716-8027",
            "fax_number": "303-238-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN MEDICAL GROUP DENVER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERMOUNTAIN FRONT RANGE, INC.",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "VP FINANCE MED GROUP",
        "authorized_official_telephone_number": "303-272-0231"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New West Physician Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New West Physician Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integral Physical Therapy LLC
• Integral Physical Therapy LLC
• Integrated Rehab Consultants Colorado LLC
• Integrative Wellness Associates, PC
• Interaction Resource D.D.D. C
• Intermountain Medical Group Denver, LLC
• Intermountain Medical Group Denver, LLC
• Intermountain Medical Group Denver, LLC
• Intermountain Medical Group Denver, LLC
• Intermountain Medical Group Denver, LLC

• Cardiovascular Disease Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Cardiovascular Disease Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.