Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Cardiovascular Disease Physician · Aurora, CO

NPI number 1053189472 Active

Practice location

23750 E 14th Ave, Suite 330
Aurora, CO 80018-1975

Call (303) 812-5250 Map

Fax (303) 272-0272

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

8 other providers at this address

Other cardiovascular disease physician providers in Aurora

See all in Aurora →

NPI record

NPI: 1053189472
Entity type: Organization (Type 2)
Issued: Dec 14, 2023
Last updated: Jun 28, 2024
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

<unavail>
Intermountain Health Heart & Vascular - East Crossroads · doing business as
Intermountain Health Heart & Vascular - East Crossroads · doing business as

Authorized official

Jon McDaniel
VP Finance Medical Group
(303) 272-0231

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1053189472

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1053189472, issued on Dec 14, 2023. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Aurora, CO. The record was last updated on Jun 28, 2024.