Intermountain Medical Group Grand Junction, LLC
NPI 1417562216ActiveOrganization· Surgery, Trauma Surgery· Grand Junction, CO
Surgery, Trauma Surgery in Grand Junction, Colorado, registered in NPPES in September 2020, part of Intermountain Front Range, Inc. The authorized official on file is Jon McDaniel, Vp Finance Medical Group.
Overview
| NPI | 1417562216 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Intermountain Front Range, Inc. |
| NPI issued | Sep 9, 2020 |
| Last updated in NPPES | Jun 28, 2024 |
| Certified by provider | Jun 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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