Intermountain Medical Group Grand Junction, LLC
NPI 1356835045ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Grand Junction, CO
Podiatrist, Foot & Ankle Surgery in Grand Junction, Colorado, registered in NPPES in June 2018, part of Sisters of Charity Leavenworth Health System Inc. The authorized official on file is Jon McDaniel, Vp Finance Mgps. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery.
Overview
| NPI | 1356835045 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sisters of Charity Leavenworth Health System Inc |
| NPI issued | Jun 18, 2018 |
| Last updated in NPPES | Jun 28, 2024 |
| Certified by provider | Jun 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (CO) |
|---|
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