SCL HEALTH MEDICAL GROUP - DENVER, LLC (NPI# 1083021083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083021083 |
| Entity Type | Organization |
| Organization Name | SCL HEALTH MEDICAL GROUP - DENVER, LLC |
| Practice Address |
500 Eldorado Blvd Ste 6250 Broomfield CO 80021 |
| Mailing Address |
500 Eldorado Blvd Ste 6250 Broomfield CO 80021-3408 |
| Practice Telephone | 8558514127 |
| Practice Fax Number | 3032720390 |
| Mailing Telephone | 8558514127 |
| Mailing Fax Number | 3032720390 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | JON MCDANIEL (VP FINANCE - MGPS OPERATIONS) |
| Authorized Official Telephone | 3032720231 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCL HEALTH FRONT RANGE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04023271 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834011 | Scl Health Medical Group - Denver, LLC | Obstetrics & Gynecology | 1960 N Ogden St Ste 230, Denver, CO 80218-3668 | 2020-09-08 |
| 1932713153 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 11900 Grant St Ste 240, Northglenn, CO 80233-1117 | 2020-09-04 |
| 1740894963 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 8515 W Coal Mine Ave Ste 240, Littleton, CO 80123-4429 | 2020-09-04 |
| 1548874761 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-04 |
| 1184238578 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 340 Exempla Cir, Lafayette, CO 80026-3384 | 2020-09-02 |
| 1114531522 | Scl Health Medical Group - Denver, LLC | Family Medicine | 1726 Cole Blvd Ste 350, Lakewood, CO 80401-3213 | 2020-09-02 |
| 1508470998 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 1960 N Ogden St Ste 520, Denver, CO 80218-3671 | 2020-09-02 |
| 1962016352 | Scl Health Medical Group - Denver, LLC | Plastic Surgery | 1960 N Ogden St Ste 530, Denver, CO 80218-3671 | 2020-09-02 |
| 1083228472 | Scl Health Medical Group - Denver, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1960 N Ogden St Ste 540, Denver, CO 80218-3671 | 2020-09-02 |
| 1407460801 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 1960 N Ogden St Ste 120a, Denver, CO 80218-3666 | 2020-09-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | SCL Health Medical Group - Denver, LLC | 500 Eldorado Boulevard, Suite 4300 A, Broomfield, CO 80021 |
| Washington State Corporations | SCL HEALTH MEDICAL GROUP - DENVER, LLC | 500 Eldorado Blvd, Ste 4300, Broomfield, CO 80021-3564 |
| Colorado Business Entities | SCL Health Medical Group - Denver, LLC | 500 Eldorado Blvd, Ste 4300, Attn Legal Services, Broomfield, CO 80021 |
| Street Address |
500 ELDORADO BLVD STE 6250 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487619367 | Kathy Okamatsu | Nurse Practitioner | 500 Eldorado Blvd, Suite 6250, Broomfield, CO 80021-3408 | 2006-04-20 |
| 1316396047 | Justin Howard Mccarthy | Family Medicine | 500 Eldorado Blvd, Ste 6300, Broomfield, CO 80021-3408 | 2016-06-03 |
| 1811378037 | Scl Health | Clinic/Center | 500 Eldorado Blvd, Bldg 6, Ste 6250, Broomfield, CO 80021-3408 | 2015-06-12 |
| 1467714477 | Nadya Waziri | Acupuncturist | 500 Eldorado Blvd, Broomfield, CO 80021-3408 | 2012-06-14 |
| 1487694196 | Saint Joseph Hospital, Inc | Obstetrics & Gynecology | 500 Eldorado Blvd, Bldg 6 Ste 6250, Broomfield, CO 80021 | 2006-06-08 |
| 1740220458 | Saint Joseph Hospital, Inc | Family Medicine | 500 Eldorado Blvd, Bldg 6 Ste 6250, Broomfield, CO 80021 | 2006-06-08 |
| 1154361350 | Saint Joseph Hospital, Inc | Surgery | 500 Eldorado Blvd, Bldg 6 Ste 6250, Broomfield, CO 80021 | 2006-06-07 |
| 1649210188 | Scl Health Front Range, Inc | Neurological Surgery | 500 Eldorado Blvd, Ste 6300, Broomfield, CO 80021-3408 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760090146 | Scl Health Medical Group - Denver, LLC | Family Medicine | 2055 W 136th Ave Ste B118, Broomfield, CO 80023-9308 | 2020-07-21 |
| 1336513969 | Paladina Health, LLC | Family Medicine | 12202 Airport Way Ste 170, Broomfield, CO 80021-2588 | 2015-11-19 |
| 1851779169 | Stone Mountain Healthcare, PC | Family Medicine | 14774 Fenton St, Broomfield, CO 80020-6116 | 2015-05-07 |
| 1962709246 | Jose Edmundo Manrique Mercado | Family Medicine | 11278 Colony Cir, Broomfield, CO 80021-4105 | 2011-02-22 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| 1942456934 | Gerald Arlen Huggins | Family Medicine | 12633 Irving Circle, Complete Family Care, Broomfield, CO 80020 | 2008-08-11 |
| 1790955185 | Kristianna K. Roberts | Family Medicine | 340 E 1st Ave Ste 101, Broomfield, CO 80020-2401 | 2008-03-03 |
| 1952593873 | Family Practice Associates PC | Family Medicine | 433 Summit Blvd Unit 201, Broomfield, CO 80021-8299 | 2007-08-14 |
| 1790723062 | Rachel Bos | Family Medicine | 1995 W Midway Blvd, Broomfield, CO 80020-1640 | 2006-06-02 |
| 1457306862 | Family Medicine Associates, PC | Family Medicine | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 | 2006-05-24 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on SCL HEALTH MEDICAL GROUP - DENVER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.