MEDICARE: INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0208X	Mobile Radiology Clinic/Center
2	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1144834011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Provider Business Mailing Address
First Line	:	500 ELDORADO BLVD STE 6300
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-3422
Country	:	US
Telephone Number	:	303-272-0566
Fax Number	:

Provider Business Practice Location Address
First Line	:	1960 N OGDEN ST STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3668
Country	:	US
Telephone Number	:	303-318-3540
Fax Number	:	303-318-2482

Authorized Official
Title or Position	:	VP FINANCE MEDICAL GROUP
Name	:	JON MCDANIEL
Credential	:
Telephone Number	:	303-272-0231

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	06/28/2024

Similar Medicare Providers

1396790101 — COLORADO GASTROENTEROLOGY PROF LLC
Practice Location Address:

1960 N OGDEN ST STE 220
DENVER, CO
80218-3668

Practice Phone: 303-861-0808
Practice Fax: 303-861-2193

1427195718 — KEVIN MICHAEL RUFNER MD, MPH
Practice Location Address:

1960 N OGDEN ST STE 220
DENVER, CO
80218-3668

Practice Phone: 303-861-0808
Practice Fax: 303-861-2193

1952891426 — DR. CAROLYN HUANG MD
Practice Location Address:

1960 N OGDEN ST STE 230
DENVER, CO
80218-3668

Practice Phone: 303-318-3540
Practice Fax: 303-318-2482

1518428168 — DR. ANNA LE NEWMAN MD
Practice Location Address:

1960 N OGDEN ST STE 230
DENVER, CO
80218-3668

Practice Phone: 303-318-3540
Practice Fax:

1134715360 — BOULDER VALLEY GASTROENTEROLOGY INC.
Practice Location Address:

1960 N OGDEN ST STE 210
DENVER, CO
80218-3668

Practice Phone: 303-604-5000
Practice Fax:

1831828573 — GI ALLIANCE ANESTHESIA OF COLORADO
Practice Location Address:

1960 N OGDEN ST STE 220
DENVER, CO
80218-3668

Practice Phone: 303-214-9316
Practice Fax:

Directions to “INTERMOUNTAIN MEDICAL GROUP DENVER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.