INTERMOUNTAIN MEDICAL GROUP DENVER LLC NPI 1922715101

NPI Information

  • NPI: 1922715101
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Doing Business As: WHEAT RIDGE CLINIC - NEUROSURGERY
  • Address: 3455 LUTHERAN PKWY STE 280
    WHEAT RIDGE, CO
    ZIP 80033
  • Phone: (303) 403-6628

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NPI Details

INTERMOUNTAIN MEDICAL GROUP DENVER, LLC is a neurological surgery in Wheat Ridge, CO. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. INTERMOUNTAIN MEDICAL GROUP DENVER, LLC NPI is 1922715101. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wheat Ridge Clinic - Neurosurgery.

The provider's business location address is:

3455 LUTHERAN PKWY STE 280
WHEAT RIDGE, CO
ZIP 80033-041
Phone: (303) 403-6628
Fax: (303) 403-6240

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

The enumeration date for this NPI number is 10/28/2022 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 SurgeryYes

What is NPI?

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

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