Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intermountain Medical Group Denver, LLC

Organization Surgery Physician · NPI 1114593571

Intermountain Medical Group Denver, LLC is a Surgery Physician in Wheat Ridge, Colorado. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3455 Lutheran Pkwy Ste 220
Wheat Ridge, CO 80033-6029
Phone: (303) 403-3030
Fax: (303) 403-6907
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1114593571
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Of Finance · (303) 272-0231
Other names Wheat Ridge Clinic - Weight Loss & Reflux Center
NPI enumeratedMay 27, 2021
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address500 Eldorado Blvd Ste 6300, Broomfield, CO 80021-3422

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