INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
NPI 1821835158
Psychiatry & Neurology - Neurology in Wheat Ridge, CO

Active since July 12, 2024
12905 W 40TH AVE, STE 440, WHEAT RIDGE, CO 80401(303) 265-5780 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Neurology

About INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

This page provides the complete NPI Profile along with additional information for Intermountain Medical Group Denver, Llc, a provider established in Wheat Ridge, Colorado operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1821835158 assigned on July 2024. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Intermountain Medical Group Denver, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jon Mcdaniel (Vp Finance)

NPI
1821835158 Verify this NPI
Provider Name
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Entity Type
Organization
Location Address
12905 W 40TH AVE, STE 440 WHEAT RIDGE, CO 80401
Location Phone
(303) 265-5780
Mailing Address
500 ELDORADO BLVD STE 4300 BROOMFIELD, CO 80021
Mailing Phone
(303) 272-0566
Mailing Fax
(303) 272-0390
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-12-2024
Last Update Date
07-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON MCDANIEL

Authorized Official Title
VP FINANCE
Authorized Official Phone
(303) 272-0231

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821835158, enumerated as an "organization" on July 12, 2024.

The provider is located at 12905 W 40TH AVE, STE 440 WHEAT RIDGE, CO 80401 and the phone number is (303) 265-5780.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.