NPIMap

Organization Active NPI

Intermountain Medical Group Denver, LLC

Doing business as SCL Health Heart & Vascular Institute - Evergreen

  • Cardiovascular Disease Physician
  • Evergreen, CO
National Provider Identifier
1750995247
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Doing business as
SCL Health Heart & Vascular Institute - Evergreen
Practice address
32135 Castle CT Ste 100a
Evergreen, CO 80439-8005
Phone
(303) 603-9800
Fax
(303) 403-6209
NPI assigned
Sep 2, 2020
Organization subpart
Yes
Parent organization
INTERMOUNTAIN FRONT RANGE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Jon McDaniel
Title
VP Finance Medical Group
Phone
(303) 272-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

32135 Castle CT Ste 100a
Evergreen, CO 80439-8005

Mailing address

32135 Castle CT Ste 100a
Evergreen, CO 80439-8005
Phone (303) 603-9800

Other names 1

  • SCL Health Heart & Vascular Institute - Evergreen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intermountain Medical Group Denver LLC121 organizations share this tax ID, including this one
Part of
Intermountain Front Range I

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1750995247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32135 CASTLE CT STE 100A",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398005",
            "telephone_number": "303-603-9800",
            "fax_number": "303-403-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32135 CASTLE CT STE 100A",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398005",
            "telephone_number": "303-603-9800",
            "fax_number": "303-403-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN MEDICAL GROUP DENVER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERMOUNTAIN FRONT RANGE, INC.",
        "enumeration_date": "2020-09-02",
        "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 MEDICAL 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": "SCL Health Heart & Vascular Institute - Evergreen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCL Health Heart & Vascular Institute - Evergreen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.