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Intermountain Medical Group Denver, LLC

Family Medicine Physician in Denver, CO · enumerated 2014 · authorized official Jon Mcdaniel, Vp Finance - Mgps Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083021083

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Registry record

Entity type Organization (Type 2)
Legal business name Intermountain Medical Group Denver, LLC
Parent organization Intermountain Front Range, Inc.
Practice address 1960 N Ogden St Ste 110, Denver, CO, 80218
Phone (303) 318-2460
Fax (303) 318-2489
Enumeration date Jul 22, 2014
Last updated in NPPES Jun 10, 2026

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
207RH0002X Hospice and Palliative Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Secondary
207T00000X Neurological Surgery Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207VM0101X Maternal & Fetal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Secondary
261QR0206X Mammography Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jon Mcdaniel
Title Vp Finance - Mgps Operations
Phone (303) 272-0231

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-10. Verify at npiregistry.cms.hhs.gov.
Where is Intermountain Medical Group Denver, LLC located?
The practice location on file with NPPES is in Denver, CO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-10.