SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC (NPI# 1588278204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588278204 |
| Entity Type | Organization |
| Organization Name | SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC |
| Practice Address |
750 Wellington Ave Grand Junction CO 81501-6132 |
| Practice Telephone | 9702987500 |
| Practice Fax Number | 9702987262 |
| Mailing Telephone | 9702987500 |
| Mailing Fax Number | 9702987262 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Mary's Medical Center - Cancer Centers of Colorado | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248054 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2635 N 7th St Ste 20, Grand Junction, CO 81501-8209 | 2020-08-31 |
| 1396358578 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 350 Market St Unit 1, Basalt, CO 81621-7410 | 2020-08-26 |
| 1497368674 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2643 Patterson Rd Ste 406, Grand Junction, CO 81506-1937 | 2020-08-26 |
| 1548873722 | Scl Health Medical Group - Grand Junction, LLC | Physical Medicine & Rehabilitation | 2686 Patterson Rd Unit 41, Grand Junction, CO 81506-8817 | 2020-08-26 |
| 1821695370 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 296 Stafford Ln, Delta, CO 81416-2243 | 2020-10-07 |
| 1174120125 | Scl Health Medical Group - Grand Junction, LLC | Family Medicine | 2503 Foresight Cir, Grand Junction, CO 81505-1139 | 2020-10-02 |
| 1730786971 | Scl Health Medical Group - Grand Junction, LLC | Surgery | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2020-10-01 |
| 1043825516 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 401 Castle Creek Rd, Aspen, CO 81611-1159 | 2020-09-11 |
| 1437764222 | Scl Health Medical Group - Grand Junction, LLC | Pediatrics | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2020-09-09 |
| 1417562216 | Scl Health Medical Group - Grand Junction, LLC | Surgery | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2020-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SCL Health Medical Group - Grand Junction, LLC | 500 Eldorado Blvd Ste 4300, Attn Legal Services, Broomfield, CO 80021 |
| Street Address |
750 WELLINGTON AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531725 | Douglas Brent Rock | Radiology | 750 Wellington Ave, St. Mary's Medical Pavilion, Radiation Oncology, Grand Junction, CO 81501-6132 | 2005-07-08 |
| 1811501307 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2020-09-02 |
| 1427536390 | Whitney Work | Pharmacist | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2018-08-02 |
| 1841646106 | Joseph Anthony Kaiser | Pharmacist | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2016-05-05 |
| 1790144905 | Laura Fox | Physician Assistant | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2016-02-16 |
| 1891109559 | Lucas Gilbride | Radiology | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2014-06-19 |
| 1215378195 | Monika Nevins | Nurse Practitioner | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2013-07-08 |
| 1376981431 | Scott P Donohue | Pharmacist | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2013-06-11 |
| 1205272283 | Michelle Akcar | Pharmacist | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2013-05-16 |
| 1235573270 | Alicia Swink | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501307 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2020-09-02 |
| 1447690938 | Kristina Goutsouliak | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2013-06-27 |
| 1235573270 | Alicia Swink | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501 | 2013-04-22 |
| 1922267285 | Mark Levandovsky | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501 | 2008-06-03 |
| 1538209606 | Heather Ashley Steele | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2007-02-07 |
| 1760468342 | Joanne Virgilio | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2005-12-15 |
| 1396721973 | Richard Kimber Gibson | Internal Medicine | 750 Wellington Ave, Grand Junction, CO 81501-6132 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238578 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 340 Exempla Cir, Lafayette, CO 80026-3384 | 2020-09-02 |
| 1285242636 | Rocky Mountain Cancer Centers LLP | Internal Medicine | 10107 Ridgegate Pkwy Ste 300, Lone Tree, CO 80124-5642 | 2020-07-21 |
| 1356965529 | Platte Valley Medical Group, LLC | Internal Medicine | 1606 Prairie Center Pkwy Ste 270, Brighton, CO 80601-4005 | 2020-06-03 |
| 1457980617 | Poudre Valley Medical Group, LLC | Internal Medicine | 4050 Briargate Pkwy Ste C1100, Colorado Springs, CO 80920-7815 | 2020-04-08 |
| 1407351950 | University Physicians Incorporated | Internal Medicine | 13199 E Montview Blvd Ste 100, Aurora, CO 80045-7202 | 2018-03-27 |
| 1114439924 | Cancer Centers of Colorado, LLC | Internal Medicine | 1601 Lowell Blvd Ste 150, Denver, CO 80204-1545 | 2017-11-02 |
| 1760814644 | Cccric LLC | Internal Medicine | 799 E Hampden Ave Ste 500, Englewood, CO 80113-2777 | 2013-08-02 |
| 1336482769 | Tejas Patil | Internal Medicine | 12801 E 17th Ave Fl 81018, Aurora, CO 80045-2530 | 2013-04-04 |
| 1851667596 | Michelle A Levy | Internal Medicine | 1800 N Williams St Ste 200, Denver, CO 80218-1237 | 2012-03-27 |
| 1790818425 | Western Hematology Oncology Associates, P.C. | Internal Medicine | 34 Van Gordon St, Suite 160, Lakewood, CO 80228-1705 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, 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.