INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
NPI 1255178588
Neurological Surgery in Wheat Ridge, CO

Active since July 12, 2024
12905 W 40TH AVE, STE 415, WHEAT RIDGE, CO 80401(303) 265-5930 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 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 1255178588), doing business as Lutheran Clinic - Neurosurgery, is a healthcare organization registered as a neurological 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

NPI1255178588
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address12905 W 40TH AVE, STE 415Wheat 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
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1255178588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
12905 W 40TH AVE, STE 415, Wheat Ridge, CO 80401

Other Names 1

Doing Business AsLutheran Clinic - Neurosurgery

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 1255178588. It was assigned to this organization in the NPPES registry on July 12, 2024. The provider is doing business as Lutheran Clinic - Neurosurgery.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 12905 W 40th Ave, Ste 415, Wheat Ridge, CO 80401. The listed phone number is (303) 265-5930.

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

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Denver, LLC was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.