INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1083451306

NPI Information

  • NPI: 1083451306
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: INTERMOUNTAIN HEALTH HEART & VASCULAR - LUTHERAN CARDIOLOGY
  • Address: 12905 W 40TH AVE, SUITE 305
    WHEAT RIDGE, CO
    ZIP 80401
  • Phone: (303) 265-5730

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a cardiovascular disease internal medicine in Wheat Ridge, CO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1083451306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Intermountain Health Heart & Vascular - Lutheran Cardiology.

The provider's business location address is:

12905 W 40TH AVE, SUITE 305
WHEAT RIDGE, CO
ZIP 80401
Phone: (303) 265-5730

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

The enumeration date for this NPI number is 7/12/2024 and was last updated on 7/12/2024.

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 License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)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: 3/30/2025

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