Intermountain Medical Group Denver, LLC
Organization
Active NPI
Family Medicine Physician · Wheat Ridge, CO
NPI 1154967719 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1154967719
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
- Practice address
- 8550 W 38TH Ave Ste 220
Wheat Ridge, CO 80033-4300
- Phone
- (303) 403-3670
- Fax
- (303) 423-9293
- NPI assigned
- Nov 19, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- INTERMOUNTAIN FRONT RANGE, INC.
Authorized official
- Name
- Jon McDaniel
- Title
- VP Finance Medical Group
- Phone
- (303) 272-0231
Corporate family (same tax ID) 24
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Intermountain Medical Group Denver, LLC Hematology & Oncology Physician · Lafayette, CO · NPI 1184238578
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Intermountain Medical Group Denver, LLC Occupational Medicine Clinic/Center · Wheat Ridge, CO · NPI 1184238867
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Intermountain Medical Group Denver, LLC Sleep Medicine (Family Medicine) Physician · Wheat Ridge, CO · NPI 1205788841
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Intermountain Medical Group Denver, LLC Family Medicine Physician · Foxfield, CO · NPI 1215722608
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Intermountain Medical Group Denver, LLC Orthopaedic Trauma Physician · Wheat Ridge, CO · NPI 1215774542
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Intermountain Medical Group Denver, LLC Neurological Surgery Physician · Wheat Ridge, CO · NPI 1255178588
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Intermountain Medical Group Denver, LLC Family Medicine Physician · Denver, CO · NPI 1275147217
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Intermountain Medical Group Denver, LLC Family Medicine Physician · Aurora, CO · NPI 1275213993
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Intermountain Medical Group Denver, LLC Cardiovascular Disease Physician · Golden, CO · NPI 1275375339
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Intermountain Medical Group Denver, LLC. General Practice Physician · Denver, CO · NPI 1194643833
Practitioners 42
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
M Shannon Arnsberger, DO
Family Medicine Physician · Lafayette, CO · NPI 1467492132
-
Rebecca Jane Campbell, DPT
Orthopedic Physical Therapist · Littleton, CO · NPI 1336701531
-
Jessica Cardi, DPT
Physical Therapist · Denver, CO · NPI 1467859926
-
Caroline E Cinquegrani, MD
Obstetrics & Gynecology Physician · Castle Rock, CO · NPI 1649353251
-
Petra Conaway, PT
Physical Therapist · Denver, CO · NPI 1366869919
-
Deborah R Cook, M.D.
Hematology & Oncology Physician · Denver, CO · NPI 1598706186
-
Anna Dudin, DPT, PT
Physical Therapist · Denver, CO · NPI 1528890001
-
Aaron Cecil Emmons, M.D.
Advanced Heart Failure and Transplant Cardiology Physician · Wheat Ridge, CO · NPI 1275876922
-
Mark S Flora, MD
Family Medicine Physician · Brighton, CO · NPI 1417929019
-
Amanda Faith Forristal, NP
Acute Care Nurse Practitioner · Wheat Ridge, CO · NPI 1962171991
-
Leah Jacoby Groves, MD
Emergency Medicine Physician · Denver, CO · NPI 1790084069
-
Kyle Edward Haffner, DPM
Foot & Ankle Surgery Podiatrist · Brighton, CO · NPI 1144588427
-
Peter Lowell Hansen, M.D.
Family Medicine Physician · Westminster, CO · NPI 1447272646
-
Ruchika Dutta Husa, M.D
Cardiovascular Disease Physician · Denver, CO · NPI 1073769790
-
Randy S Jacobs, MD
Emergency Medicine Physician · Denver, CO · NPI 1902940786
-
Tanya M Kern, MD
Family Medicine Physician · Littleton, CO · NPI 1578690509
-
Craig Kilpatrick, MD
Family Medicine Physician · Arvada, CO · NPI 1396884334
-
Brenda K Kluherz, FPNP
Gynecology Physician · Denver, CO · NPI 1881864775
-
Kelly P Knudson, MD
Surgery Physician · Lafayette, CO · NPI 1104972884
-
Christopher M Lowrimore, DPT
Physical Therapist · Englewood, CO · NPI 1427616093
-
Linda Fonseca Matthews, M.D.
Maternal & Fetal Medicine Physician · Longmont, CO · NPI 1609801646
-
Ari Z Melmed Emergency Medicine Physician · Denver, CO · NPI 1588791552
-
Erica Ashley Morse, M.D.
Emergency Medicine Physician · Aspen, CO · NPI 1104169770
-
Omar Asa'Ad Mubarak, MD
Specialist · Denver, CO · NPI 1740222322
-
Bao-Thang Anthony Nguyen Hospitalist Physician · Denver, CO · NPI 1497251847
View all 42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
| O20150106000131 |
CO |
Part B Supplier - Clinic/Group Practice |
0840513552 |
Receives reassigned benefits from 1,361 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Intermountain Medical Group Denver LLC (121 organizations share this tax ID)
- Part of
- Lutheran Medical Center
Locations
12169 Sheridan Blvd
Broomfield, CO 80020
Phone (303) 439-0169
8550 W 38th Ave
Ste 220
Wheat Ridge, CO 80033
Phone (303) 403-3670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
Family Medicine Physician Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
207Q00000X |
|
|
Yes |
Addresses
Primary practice location
8550 W 38TH Ave Ste 220
Wheat Ridge, CO 80033-4300
Mailing address
8550 W 38TH Ave Ste 220
Wheat Ridge, CO 80033-4300
Phone (303) 403-3670
Other names
- SCL Health Medical Group - Lutheran Family Practice Doing business as
Other providers in Wheat Ridge, CO
- 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
- 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
All providers in Wheat Ridge, CO
· Family Medicine Physician in Colorado