OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1679187587 · Surgery Physician · Lafayette, CO
Provider details
- NPI number
- 1679187587
- Entity type
- Organization
- Primary specialty
- Surgery 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
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
300 Exempla Cir Ste 300
Lafayette, CO 80026-3394
Phone: (303) 318-3540
Fax: (303) 318-2482
Street-level locationGet directions
Mailing address
500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422
Other names (DBA / former)
- Doing business as
- Scl Health Medical Group - Lafayette Comprehensive Breast Care
- Doing business as
- Scl Health Medical Group - Lafayette Comprehensive Breast Care
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.