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

Intermountain Medical Group Denver, LLC

Organization Neurological Surgery Physician · NPI 1255178588

Intermountain Medical Group Denver, LLC is a Neurological Surgery Physician in Wheat Ridge, Colorado. Registered with an NPI since 2024.

In the registry since
2024
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

12905 W 40th Ave Ste 415
Wheat Ridge, CO 80401
Phone: (303) 265-5930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1255178588
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance · (303) 272-0231
Other names Lutheran Clinic - Neurosurgery
NPI enumeratedJuly 12, 2024
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing address500 Eldorado Blvd Ste 4300, Broomfield, CO 80021-3564

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