SCL HEALTH MEDICAL GROUP - DENVER, LLC (NPI# 1417560574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417560574 |
| Entity Type | Organization |
| Organization Name | SCL HEALTH MEDICAL GROUP - DENVER, LLC |
| Practice Address |
300 Exempla Cir Ste 400 Lafayette CO 80026-3396 |
| Mailing Address |
500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 |
| Practice Telephone | 3036896560 |
| Practice Fax Number | 3036896550 |
| Mailing Telephone | 3032720566 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | JON MCDANIEL (VP FINANCE) |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SCL Health Medical Group - Good Samaritan General & Trauma Surgery | 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 STE 400 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3396 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477922904 | Lafayette Health Ventures, Inc. | Surgery | 121 Audubon Blvd, Lafayette, LA 70503-2606 | 2015-09-15 |
| 1164805719 | Lafayette Health Ventures, Inc. | Surgery | 900 E Saint Mary Blvd, Suite 106, Lafayette, LA 70503-2377 | 2015-07-01 |
| 1043595804 | Surgical Hospital Management System LLC | Surgery | 1000 Pinhook Road, Suite 310, Lafayette, LA 70503-2460 | 2011-10-12 |
| 1275812976 | Flatirons Surgical Specialists, Pllc | Surgery | 2668 N Park Dr, Ste 110, Lafayette, CO 80026-3199 | 2011-08-11 |
| 1194017889 | Ethel Stackhouse Smith | Surgery | 125 Karolwood Dr, Lafayette, LA 70503 | 2011-05-12 |
| 1306137666 | Imtiaz R Khan | Surgery | 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 | 2011-04-21 |
| 1386963148 | Leopold Richard, Jr. | Surgery | 406 Oakleaf Dr, Lafayette, LA 70503-3491 | 2010-05-19 |
| 1275760019 | Gary Joseph Arnold | Surgery | 302 Mill Valley Run, Lafayette, LA 70508 | 2009-06-19 |
| 1962681551 | Dennis Joseph Eschete Jr. | Surgery | 1000 W Pinhook Road, Ste 204, Lafayette, LA 70503-2460 | 2007-10-31 |
| 1902999485 | Joseph Peter Lupo | Surgery | 900 E Saint Mary Blvd Ste 104, Lafayette, LA 70503-2378 | 2006-10-02 |
| 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.