INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1417560574

NPI Information

  • NPI: 1417560574
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Other Name: LAFAYETTE CLINIC - GENERAL SURGERY
  • CLIA Number: 06D2253459
  • Address: 300 EXEMPLA CIR STE 400
    LAFAYETTE, CO
    ZIP 80026
  • Phone: (303) 689-6560

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a surgery in Lafayette, CO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1417560574. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Lafayette Clinic - General Surgery.

The provider's business location address is:

300 EXEMPLA CIR STE 400
LAFAYETTE, CO
ZIP 80026-396
Phone: (303) 689-6560
Fax: (303) 689-6550

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 CLIA number assigned to this NPI record is 06D2253459 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2020 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 License Number License State Primary
1207T00000XNeurological SurgeryNo
2207V00000XObstetrics & GynecologyNo
3207VX0201XObstetrics & GynecologyGynecologic OncologyNo
42084N0400XPsychiatry & NeurologyNeurologyNo
5208600000XSurgeryYes

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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