OrganizationActive
Intermountain Medical Group Denver, LLC.
NPI 1386501914 · Surgical Oncology Physician · Denver, CO
Provider details
- NPI number
- 1386501914
- Entity type
- Organization
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Organization subpart
- Yes
- Authorized official
- Sean Fadden, Vp Finance(303) 425-2410
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Practice location
1818 N Ogden St Ste 315b
Denver, CO 80218-1276
Phone: (303) 318-3580
Fax: (303) 318-2483
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 Park Avenue Clinic - Lung Nodule
- Doing business as
- Intermountain Health Park Avenue Clinic-Breast Surgery
Registry dates
- Enumerated
- 2026-01-06
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.