Organization · Type 2 NPI

Intermountain Medical Group Denver, LLC

Hematology & Oncology Physician · Denver, CO

NPI number 1790642338 Active

Practice location

1818 N Ogden St Ste 200
Denver, CO 80218-1295

Call (303) 318-3434 Map

Fax (303) 318-3431

Mailing address

500 Eldorado Blvd Ste 4300
Broomfield, CO 80021-3564

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed
Medical Oncology Physician	207RX0202X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

5 other providers at this address

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NPI record

NPI: 1790642338
Entity type: Organization (Type 2)
Issued: Jan 6, 2026
Last updated: Feb 10, 2026
Status: Active
Subpart: Yes of Intermountain Front Range, Inc.

Other names

Intermountain Health Cancer Center - Saint Joseph · doing business as

Authorized official

Sean Fadden
VP Finance
(303) 425-2410

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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.

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About NPI 1790642338

Intermountain Medical Group Denver, LLC's National Provider Identifier is 1790642338, issued on Jan 6, 2026. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Denver, CO. The record was last updated on Feb 10, 2026.