SCL HEALTH MEDICAL GROUP - DENVER, LLC (NPI# 1831703222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831703222 |
| Entity Type | Organization |
| Organization Name | SCL HEALTH MEDICAL GROUP - DENVER, LLC |
| Other Organization Name | SCL HEALTH HEART & VASCULAR INSTITUTE - WHEAT RIDGE CARDIAC & THORACIC |
| Practice Address |
3555 Lutheran Pkwy Ste 380 Wheat Ridge CO 80033-6023 |
| Practice Telephone | 3034036450 |
| Practice Fax Number | 3034036087 |
| Mailing Telephone | 3034036450 |
| Mailing Fax Number | 3034036087 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-11 |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SCL Health Heart & Vascular Institute - Wheat Ridge Cardiac & Thoracic | 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 |
3555 LUTHERAN PKWY STE 380 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326391640 | Christine Marie Kanka | Nurse Practitioner | 3555 Lutheran Pkwy Ste 380, Wheat Ridge, CO 80033-6023 | 2012-10-24 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831274554 | Cvs-thoracic & Cardiovascular Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3555 Lutheran Pkwy, Ste 380, Wheat Ridge, CO 80033-6023 | 2006-10-25 |
| 1619980703 | Franco R Rea | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | 2006-08-13 |
| 1902886559 | Cesar Roman Cantu | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3555 Lutheran Pkwy, Ste 380, Wheat Ridge, CO 80033-6023 | 2006-01-19 |
| 1558349696 | Edwin Lance Walker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3555 Lutheran Pkwy, Ste 380, Wheat Ridge, CO 80033-6023 | 2006-01-09 |
| 1982682019 | Allan Meacham Brants | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3555 Lutheran Pkwy, Ste 380, Wheat Ridge, CO 80033-6023 | 2006-01-09 |
| 1649258542 | Robert Jeffrey Morelock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3555 Lutheran Pkwy, Ste 380, Wheat Ridge, CO 80033-6023 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275190 | Healthone Clinic Services - Cardiovascular LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4567 E 9th Ave Ste 670, Denver, CO 80220-3908 | 2020-11-03 |
| 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 |
| 1134762123 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Peak One Blvd, Ste 390, Frisco, CO 80443 | 2019-10-22 |
| 1538406814 | Wilson Willard Strong Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2023 Keystone Ranch Rd, Keystone, CO 80435-8386 | 2013-01-07 |
| 1235428848 | James Mault | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30589 Monarch Ct, Evergreen, CO 80439-9411 | 2011-04-04 |
| 1710208202 | Paul Franklin Eckstein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22 West Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4335 | 2010-06-18 |
| 1881929545 | Robert Lynch Hardesty | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9017 Ranch River Cir, Highlands Ranch, CO 80126-5079 | 2009-10-13 |
| 1487863700 | Crystal Joy Erickson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 525 Bob Peters Grv Ste 302, Colorado Springs, CO 80909-4533 | 2007-05-22 |
| 1649483058 | George Pappas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3595 E Long Rd, Greenwood Village, CO 80121-1916 | 2007-05-08 |
| 1538233754 | Jenifer Lynn Marks | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1444 S Potomac St Ste 390, Aurora, CO 80012-4515 | 2006-11-20 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.