SCL HEALTH MEDICAL GROUP - DENVER, LLC (NPI# 1598379984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598379984 |
| Entity Type | Organization |
| Organization Name | SCL HEALTH MEDICAL GROUP - DENVER, LLC |
| Practice Address |
300 Exempla Cir Lafayette CO 80026-3397 |
| Practice Telephone | 3033183220 |
| Practice Fax Number | 3033183219 |
| Mailing Telephone | 3033183220 |
| Mailing Fax Number | 3033183219 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | JON MCDANIEL (VP FINANCE MEDICAL GROUP) |
| 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 | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SCL Health Medical Group - Lafayette Urogynecology | 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 |
300 EXEMPLA CIR |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063485936 | Ernest Edward Nitka | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2006-02-09 |
| 1821538174 | Lauren Elizabeth Hammer | Nurse Practitioner | 300 Exempla Cir, Suite 470, Lafayette, CO 80026-3397 | 2017-03-06 |
| 1952858185 | Heather Dunham | Nurse Practitioner | 300 Exempla Cir, Suite 420, Lafayette, CO 80026-3397 | 2016-09-06 |
| 1972927382 | Froc, PC | Orthopaedic Surgery | 300 Exempla Cir, Suite 200, Lafayette, CO 80026 | 2014-02-06 |
| 1518300367 | Sarah Braden White | Emergency Medicine | 300 Exempla Cir, #204, Lafayette, CO 80026-3397 | 2013-04-11 |
| 1144517947 | Katrina Marie Pack | Psychiatry & Neurology | 300 Exempla Cir, Suite 230, Lafayette, CO 80026-3397 | 2011-06-30 |
| 1700184322 | Lafayette Pediatrics and Internal Medicine | Clinic/Center | 300 Exempla Cir, Suite 420, Lafayette, CO 80026-3397 | 2011-03-06 |
| 1003120502 | Erik Berger | Internal Medicine | 300 Exempla Cir, Suite 300, Lafayette, CO 80026-3397 | 2010-07-27 |
| 1154654804 | Banner Greeley Specialists | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2009-09-14 |
| 1467608752 | Ncmc Specialty Clinic | Clinic/Center | 300 Exempla Cir, Suite 200, Lafayette, CO 80026-3397 | 2008-08-18 |
| Find all providers in the same location | ||||
| 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 | 2088F0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421306 | Poudre Valley Medical Group, LLC | Urology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-14 |
| 1730794033 | Poudre Valley Medical Group, LLC | Urology | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-09-14 |
| 1003137936 | Janine L Oliver | Urology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2010-06-15 |
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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.