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WESTERN COLORADO OBESITY MANAGEMENT CLINIC
NPI 1770196917
Internal Medicine - Obesity Medicine in Grand Junction, CO

Active since August 27, 2020CLIA 06D2232971 · Waiver
2440 N 11TH ST, GRAND JUNCTION, CO 81501(970) 298-6400(970) 298-6405 Get Directions Write a Review

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

Record update history: Nov 12, 2024, Jun 28, 2024, May 14, 2024 and 1 more (4 updates tracked since 2020).

About Western Colorado Obesity Management Clinic NPPES

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

WESTERN COLORADO OBESITY MANAGEMENT CLINIC (NPI 1770196917) is a healthcare organization registered as an obesity medicine in Grand Junction, Colorado and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1770196917
Entity TypeOrganization
Primary Taxonomy207RB0002X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Location Address2440 N 11TH STGrand Junction, CO 81501-8102
Mailing Address2440 N 11th StGrand Junction, CO 81501-8102 · (970) 298-6400 · Fax (970) 298-6405
Phone(970) 298-6400
Fax(970) 298-6405
Organization SubpartYesParent: Intermountain Front Range, Inc
Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231
Enumeration DateAugust 27, 2020
Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1770196917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RB0002X
Definition
An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
2440 N 11TH ST, Grand Junction, CO 81501
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Other Names 1

Doing Business AsWestern Colorado Obesity Management Clinic

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2232971

Western Colorado Obesity Management Clinic · Grand Junction, CO
Active · expires Aug 18, 2027
CLIA Number06D2232971
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorDr. Karee Byram
Laboratory Phone(970) 298-6400
Laboratory LocationWestern Colorado Obesity Management Clinic2440 N 11th St, Grand Junction, CO 81501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMALIA MICHALEK PA-C
Physician Assistant
2440 N 11TH ST
GRAND JUNCTION, CO 81501
Mesa County (970) 243-0900
COLORADO SURGICAL AFFILIATES, LLC
Surgery
2440 N 11TH ST
GRAND JUNCTION, CO 81501
Mesa County (970) 243-0900
KELLY MARIE MANNING PA-C
Physician Assistant
2440 N 11TH ST
GRAND JUNCTION, CO 81501
Mesa County (970) 243-0900
CRAIG HOLGER ANDERSEN MD
Surgery
2440 N 11TH ST
GRAND JUNCTION, CO 81501
Mesa County (970) 243-0900
DOUGLAS AUGUST HIRTH MD
Surgery
2440 N 11TH ST
GRAND JUNCTION, CO 81501
Mesa County (970) 243-0900
KATHERINE SUMMERVILLE DONOHER RD
Dietitian, Registered (Nutrition, Obesity and Weight Management)
2440 N 11TH ST
GRAND JUNCTION, CO 81501
Mesa County (970) 298-1998
CHELCIE RENEE NOWAK FNP
Nurse Practitioner (Family)
2440 N 11TH ST
GRAND JUNCTION, CO 81501
Mesa County (970) 243-0900
HEALTHONE CLINIC SERVICES MEDICAL SPECIALTIES LLC
Internal Medicine (Gastroenterology)
2440 N 11TH ST
GRAND JUNCTION, CO 81501
Mesa County (720) 754-2155

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 Grand Junction, LLC's NPI number?

The NPI number for Intermountain Medical Group Grand Junction, LLC is 1770196917. It was assigned to this organization in the NPPES registry on August 27, 2020. The provider is doing business as Western Colorado Obesity Management Clinic.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 2440 N 11th St, Grand Junction, CO 81501. The listed phone number is (970) 298-6400.

What is Intermountain Medical Group Grand Junction, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Does Intermountain Medical Group Grand Junction, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2232971) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Grand Junction, LLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.