Healthcare Provider Details

I. General information

NPI: 1194695403
Provider Name (Legal Business Name): IRISE NOW MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14001 E ILIFF AVE STE 400
AURORA CO
80014-1427
US

IV. Provider business mailing address

14001 E ILIFF AVE STE 400
AURORA CO
80014-1427
US

V. Phone/Fax

Practice location:
  • Phone: 720-384-8787
  • Fax:
Mailing address:
  • Phone: 720-384-8787
  • Fax: 303-955-3281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICAH ANDREW CRAIG
Title or Position: PRESIDENT
Credential: MD
Phone: 303-918-9571