INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
NPI 1093552317
Surgery in Wheat Ridge, CO

Active since July 12, 2024
12905 W 40TH AVE, STE 405, WHEAT RIDGE, CO 80401(303) 265-5740 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intermountain Medical Group Denver, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC (NPI 1093552317), doing business as Lutheran Clinic - Weight Loss Center, is a healthcare organization registered as a surgery in Wheat Ridge, Colorado and active in the NPI registry since July 2024. The organization lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1093552317
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address12905 W 40TH AVE, STE 405Wheat Ridge, CO 80401
Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566 · Fax (303) 272-0390
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
NPI 1093552317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12905 W 40TH AVE, STE 405, Wheat Ridge, CO 80401

Other Names 1

Doing Business AsLutheran Clinic - Weight Loss Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermountain Medical Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1093552317. It was assigned to this organization in the NPPES registry on July 12, 2024. The provider is doing business as Lutheran Clinic - Weight Loss Center.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 12905 W 40th Ave, Ste 405, Wheat Ridge, CO 80401. The listed phone number is (303) 265-5740.

What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Denver, LLC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.