OrganizationActive
Intermountain Medical Group Denver, LLC
NPI 1962016352 · Plastic Surgery Physician · Denver, CO
Provider details
- NPI number
- 1962016352
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Intermountain Front Range, Inc.
- Organization subpart
- Yes
- Authorized official
- Jon Mcdaniel, Vp Finance Medical Group(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
1960 N Ogden St Ste 530
Denver, CO 80218-3671
Phone: (303) 318-2600
Fax: (303) 318-2604
Street-level locationGet directions
Mailing address
1960 N Ogden St Ste 530
Denver, CO 80218-3671
Other names (DBA / former)
- Doing business as
- Denver Midtown Clinic - Surgery
Registry dates
- Enumerated
- 2020-09-02
- Last updated
- 2024-06-28
- Certified
- 2024-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.