LAFAYETTE CLINIC - GENERAL SURGERY
NPI 1417560574
Surgery in Lafayette, CO
NPI Status: Active since August 28, 2020
Contact Information
300 EXEMPLA CIR STE 400
LAFAYETTE, CO
ZIP 80026
Phone: (303) 689-6560
Fax: (303) 689-6550
- Organization
- Surgery
- CLIA Number: 06D2253459
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-21-2026
About LAFAYETTE CLINIC - GENERAL SURGERY
This page provides the complete NPI Profile along with additional information for Lafayette Clinic - General Surgery, a provider established in Lafayette, Colorado operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1417560574 assigned on August 2020. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated one year ago. Lafayette Clinic - General Surgery operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Lafayette Clinic - General Surgery. The authorized official of this NPI record is Jon Mcdaniel (Vp Finance)
- NPI
- 1417560574
- Provider Legal Name
- INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
- Other Organization Name
- LAFAYETTE CLINIC - GENERAL SURGERY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 300 EXEMPLA CIR STE 400 LAFAYETTE, CO 80026
- Location Phone
- (303) 689-6560
- Location Fax
- (303) 689-6550
- Mailing Address
- 500 ELDORADO BLVD STE 6300 BROOMFIELD, CO 80021
- Mailing Phone
- (303) 272-0566
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-28-2020
- Last Update Date
- 06-28-2024
- Code Navigator
A surgeon like Lafayette Clinic - General Surgery treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 3 | 207VX0201X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2253459
- Facility Type
- Physician Office
- Certificate Effective Date
- February 22, 2024
- Certificate Expiration Date
- February 21, 2026
- Laboratory Director
- CHRISTOPHER AWTREY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lafayette Clinic - General Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 5 | 6 | 0 | 5 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 10 | 6 | 0 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 0 + 6 + 0 + 5 + 1 + 4 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1417560574 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417560574, enumerated in the NPI registry as an "organization" on August 28, 2020
The provider is located at 300 Exempla Cir Ste 400 Lafayette, Co 80026 and the phone number is (303) 689-6560
This medical organization specializes in Surgery with taxonomy code 208600000X
The provider's CLIA number is 06D2253459 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 28, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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