SCL HEALTH MEDICAL GROUP - DENVER, LLC (NPI# 1164036083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164036083 |
Entity Type | Organization |
Organization Name | SCL HEALTH MEDICAL GROUP - DENVER, LLC |
Practice Address |
340 Exempla Cir Lafayette CO 80026-3384 |
Mailing Address |
500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 |
Practice Telephone | 3036731635 |
Practice Fax Number | 3036731865 |
Mailing Telephone | 3032720566 |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-08 |
Authorized Official Name | JON MCDANIEL (VP FIANCE) |
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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Good Samaritan Medical Center - Radiology Oncology | Doing Business As Name - Organization |
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 |
340 EXEMPLA CIR |
City | LAFAYETTE |
State | CO |
Zip Code | 80026-3384 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184238578 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 340 Exempla Cir, Lafayette, CO 80026-3384 | 2020-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
Find all providers in zip 80026 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487974044 | Lafayette Health Ventures Inc | Radiology | 155 Hospital Dr Ste 102, Lafayette, LA 70503-2852 | 2010-06-07 |
1700021961 | Karl Thomas Noell | Radiology | 630 Greenbriar Rd, Lafayette, LA 70503-3408 | 2008-12-02 |
1376700591 | James Kyle Russo II | Radiology | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2008-05-16 |
1649442013 | Imaging Services of Louisiana LLC | Radiology | 5000 Ambassador Caffery Parkway Bldg 10, Lafayette, LA 70508 | 2008-03-26 |
1114940046 | Mary Maitland Deland | Radiology | 1507 Alice Dr, Lafayette, LA 70503-5083 | 2006-07-25 |
1144256736 | Oncologics, Inc. | Radiology | 917 General Mouton Ave, Lafayette, LA 70501-8511 | 2006-06-24 |
1134189566 | Bahman Abraham Daneshfar | Radiology | 302 Arabella Blvd, Lafayette, LA 70508-6054 | 2006-03-28 |
1942278361 | Centennial Radiation Oncology, P.C. | Radiology | 120 Old Laramie Trl E, Lafayette, CO 80026-7012 | 2006-03-10 |
1316947245 | Mary Margaret Rhees | Radiology | 1425 Unity Pl, Lafayette, IN 47905-5756 | 2005-07-21 |
1659820777 | Radiation Oncology Associates of Acadiana, LLP | Radiology | 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508-8800 | 2016-09-30 |
Find all providers in LAFAYETTE |
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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.