INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1083021083

NPI Information

NPI: 1083021083
Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
CLIA Number: 06D2211623
Address: 1960 N OGDEN ST STE 110
DENVER, CO
ZIP 80218
Phone: (303) 318-2460

Map and Directions

Get Directions

NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a family medicine in Denver, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1083021083. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1960 N OGDEN ST STE 110
DENVER, CO
ZIP 80218-667
Phone: (303) 318-2460
Fax: (303) 318-2489

The provider's authorized official is Jon Mcdaniel .
The authorized official title is Vp Finance - Mgps Operations and has the following contact phone number (303) 272-0231.

The CLIA number assigned to this NPI record is 06D2211623 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2014 and was last updated on 6/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207P00000X	Emergency Medicine		No
2	207Q00000X	Family Medicine		Yes
3	207R00000X	Internal Medicine		No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	No
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
6	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	No
7	207RH0003X	Internal Medicine	Hematology & Oncology	No
8	207T00000X	Neurological Surgery		No
9	207V00000X	Obstetrics & Gynecology		No
10	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	No
11	207X00000X	Orthopaedic Surgery		No
12	208100000X	Physical Medicine & Rehabilitation		No
13	208200000X	Plastic Surgery		No
14	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
15	261QR0206X	Clinic/Center	Radiology, Mammography	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI