OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1578331930 · Primary Podiatric Medicine Podiatrist · Aurora, CO
Provider details
- NPI number
- 1578331930
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Intermountain Front Range, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Mcdaniel, Vp Finance Medical Group(303) 272-0231
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23750 E 14th Ave
Suite 220
Aurora, CO 80018-1971
Phone: (303) 812-5230
Fax: (303) 272-0271
Approximate (ZIP-level) locationGet directions
Mailing address
500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564
Other names (DBA / former)
- Doing business as
- East Crossroads Clinic - Podiatry
- Doing business as
- East Crossroads Clinic - Podiatry
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.