SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC (NPI# 1861006496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861006496 |
| Entity Type | Organization |
| Organization Name | SCL HEALTH MEDICAL GROUP - GRAND JUNCTION, LLC |
| Practice Address |
627 25 1/2 Rd Grand Junction CO 81505-6401 |
| Practice Telephone | 9702983198 |
| Practice Fax Number | 9702423535 |
| Mailing Telephone | 9702983198 |
| Mailing Fax Number | 9702423535 |
| 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 | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SCL Health Medical Group - Comprehensive Spine Center | 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 |
627 25 1/2 RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666083 | Jeffrey M Nakano | Orthopaedic Surgery | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2005-08-22 |
| 1225641467 | Scl Health Medical Group - Grand Junction, LLC | Orthopaedic Surgery | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2020-08-27 |
| 1184268278 | Hannah Elizabeth Maue | Physical Therapist | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2019-10-31 |
| 1003464934 | Jamie Stephen | Nurse Practitioner | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2019-09-04 |
| 1104390863 | Beth Marie Keddy | Physical Therapist | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2019-01-16 |
| 1710459961 | Erik W. Speer | Physical Therapist | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2018-12-28 |
| 1356835045 | Scl Health Medical Group - Grand Junction, LLC | Podiatrist | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2018-06-18 |
| 1003282468 | Rocky Mountain Orthopaedic Associates | Durable Medical Equipment & Medical Supplies | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2015-08-19 |
| 1659775047 | Katie Ramsden | Physical Therapist | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2014-10-14 |
| 1447683040 | Scott Alan Coleman | Physical Therapist | 627 25 1/2 Rd, Grand Junction, CO 81505-6401 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698148 | Brian P Witwer | Neurological Surgery | 750 Wellington Ave Ste 3a, Grand Junction, CO 81501-6132 | 2005-09-02 |
| 1831703313 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 750 Wellington Ave Ste 3a, Grand Junction, CO 81501-6132 | 2020-09-02 |
| 1558663286 | Larry D. Tice Md PC | Neurological Surgery | 1120 Wellington Ave, Suite 206, Grand Junction, CO 81501-6129 | 2010-12-01 |
| 1588677017 | Robert H Fox | Neurological Surgery | 750 Wellington Ave Ste 3a, Grand Junction, CO 81501-6132 | 2006-08-14 |
| 1730112772 | Edward Eugene Maurin IIi | Neurological Surgery | 750 Wellington Ave, Grand Junction, CO 81501 | 2006-07-09 |
| 1154365153 | Basheal M. Agrawal | Neurological Surgery | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2006-06-16 |
| 1477504066 | John Anthony Lopez | Neurological Surgery | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358578 | Scl Health Medical Group - Grand Junction, LLC | Neurological Surgery | 350 Market St Unit 1, Basalt, CO 81621-7410 | 2020-08-26 |
| 1154933786 | Neurosurgery One PC | Neurological Surgery | 9695 S Yosemite St Ste 377, Lone Tree, CO 80124-2826 | 2020-08-17 |
| 1477180255 | Healthone Clinic Services - Surgery Neurological LLC | Neurological Surgery | 1721 E 19th Ave Ste 500, Denver, CO 80218-1242 | 2020-03-24 |
| 1497382246 | Neurosurgery One PC | Neurological Surgery | 9397 Crown Crest Blvd Ste 411, Parker, CO 80138-8789 | 2020-03-23 |
| 1013543891 | Scl Health Medical Group - Denver, LLC | Neurological Surgery | 3455 Lutheran Pkwy Ste 285, Wheat Ridge, CO 80033-6034 | 2020-03-12 |
| 1598300790 | Valley View Hospital Association | Neurological Surgery | 0377 Sylvan Lake Rd, Eagle, CO 81631-0129 | 2019-11-12 |
| 1194369926 | Valley View Hospital Association | Neurological Surgery | 350 Market St Unit 200, Basalt, CO 81621-7403 | 2019-11-05 |
| 1326565177 | Fredric M Sonstein Md Mba Pllc | Neurological Surgery | 333 W Hampden Ave Ste 800, Englewood, CO 80110 | 2017-08-23 |
| 1447773601 | Edin Nevzati | Neurological Surgery | 665 Clermont St, Denver, CO 80220-5023 | 2017-07-19 |
| 1306385752 | Resilience Surgical LLC | Neurological Surgery | 99 Inverness Dr E Ste 100, Englewood, CO 80112-5127 | 2017-02-17 |
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| City | GRAND JUNCTION |
| Zip Code | 81505 |
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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.