OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1134917826 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Wheat Ridge, CO
Provider details
- NPI number
- 1134917826
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Mcdaniel, Vp Finance(303) 272-0231
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Wound Care Registered Nurse163WW0000X
Nursing Service Providers
Allopathic & Osteopathic Physicians
Practice location
12905 W 40th Ave
Suilte 505
Wheat Ridge, CO 80401-2794
Phone: (303) 265-5470
Fax: (303) 325-8516
Approximate (ZIP-level) locationGet directions
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Other names (DBA / former)
- Doing business as
- Intermountain Health Lutheran Hospital - Wound Care & Hyperbaric Therapy
Registry dates
- Enumerated
- 2025-04-30
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.