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Intermountain Medical Group Denver, LLC

NPI 1730533902ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Thornton, CO

Podiatrist, Foot & Ankle Surgery in Thornton, Colorado, registered in NPPES in April 2016, part of Intermountain Front Range, Inc. The authorized official on file is Jon McDaniel, Vp Finance - Mgps Operations.

Overview

NPI1730533902
StatusActive
Entity typeOrganization (subpart)
Parent organizationIntermountain Front Range, Inc.
NPI issuedApr 14, 2016
Last updated in NPPESJun 28, 2024
Certified by providerJun 28, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist, Foot & Ankle Surgery Primary213ES0103XPOD.0000520CO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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