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

Intermountain Medical Group Denver, LLC

Organization Neurological Surgery Physician · NPI 1417560574

Intermountain Medical Group Denver, LLC is a Neurological Surgery Physician in Lafayette, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

300 Exempla Cir Ste 400
Lafayette, CO 80026-3396
Phone: (303) 689-6560
Fax: (303) 689-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Neurological Surgery Physician Taxonomy 207T00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1417560574
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Front Range, Inc
Authorized official Jon McDaniel — Vp Finance · (303) 272-0231
Other names Lafayette Clinic - Trauma Surgery; Lafayette Clinic - General Surgery
NPI enumeratedAugust 28, 2020
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address500 Eldorado Blvd Ste 6300, Broomfield, CO 80021-3422

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