SCL HEALTH MEDICAL GROUP - DENVER, LLC (NPI# 1437768124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437768124 |
| Entity Type | Organization |
| Organization Name | SCL HEALTH MEDICAL GROUP - DENVER, LLC |
| Practice Address |
3655 Lutheran Pkwy Ste 201 Wheat Ridge CO 80033-6010 |
| Mailing Address |
500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 |
| Practice Telephone | 3036039800 |
| Practice Fax Number | 3034036209 |
| Mailing Telephone | 3032720566 |
| Mailing Fax Number | 3032720390 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SCL Health Heart & Vascular Institute - Wheat Ridge | 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 |
3655 LUTHERAN PKWY STE 201 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689631061 | John C Breckinridge | Internal Medicine | 3655 Lutheran Parkway, Suite # 201, Wheat Ridge, CO 80033-6010 | 2006-04-28 |
| 1831703222 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 3555 Lutheran Pkwy Ste 380, Wheat Ridge, CO 80033-6023 | 2020-09-02 |
| 1356309009 | Kelly Y Kim | Internal Medicine | 3655 Lutheran Parkway, Suite #201, Wheat Ridge, CO 80033-6010 | 2006-05-03 |
| 1578521233 | Martin Fejka | Internal Medicine | 3655 Lutheran Parkway, Suite #201, Wheat Ridge, CO 80033-6010 | 2006-05-03 |
| 1568420487 | Jody P Kleinman | Internal Medicine | 3655 Lutheran Parkway, Suite #201, Wheat Ridge, CO 80033-6010 | 2006-05-02 |
| 1013975887 | Scott R Valent | Internal Medicine | 3655 Lutheran Pkwy, Suite #201, Wheat Ridge, CO 80033-6018 | 2006-05-02 |
| 1689631822 | Jerry S Miklin | Internal Medicine | 3655 Lutheran Pkwy, Suite 201, Wheat Ridge, CO 80033-6018 | 2006-05-01 |
| 1740247857 | Douglas R Martel | Internal Medicine | 3655 Lutheran Parkway, Suite #201, Wheat Ridge, CO 80033-6010 | 2006-05-01 |
| 1851358295 | Timothy W Leavitt | Internal Medicine | 3655 Lutheran Parkway, Suite # 201, Wheat Ridge, CO 80033-6010 | 2006-04-28 |
| 1922099464 | Bohuslav Finta | Internal Medicine | 3655 Lutheran Pkwy, Suite 201, Wheat Ridge, CO 80033-6018 | 2005-11-03 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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.