POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1023647278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023647278 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
2500 Rocky Mountain Ave Ste 340 Loveland CO 80538-9004 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9704957421 |
| Practice Fax Number | 9702037179 |
| Mailing Telephone | 9704957421 |
| Mailing Fax Number | 9702037179 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | JANA CONROY (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9706244443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Brain and Spine Clinic - Loveland | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350476 | Poudre Valley Medical Group, LLC | Urology | 2315 E Harmony Rd Ste 140, Fort Collins, CO 80528-8620 | 2020-09-15 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1104439322 | Poudre Valley Medical Group, LLC | Radiology | 525 Bob Peters Grv Ste 100, Colorado Springs, CO 80909-4533 | 2020-08-27 |
| 1932712155 | Poudre Valley Medical Group, LLC | Internal Medicine | 940 Central Park Dr Ste 290, Steamboat Springs, CO 80487-8853 | 2020-08-27 |
| 1033722376 | Poudre Valley Medical Group, LLC | Family Medicine | 15854 Jackson Creek Pkwy Unit 120, Monument, CO 80132-8663 | 2020-08-26 |
| 1285247866 | Poudre Valley Medical Group, LLC | Physical Therapist | 6767 29th St Fl 1, Greeley, CO 80634-5474 | 2020-08-25 |
| 1932711868 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 100 Cook St Ste 210, Denver, CO 80206-5328 | 2020-08-21 |
| 1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Poudre Valley Medical Group, LLC | 2695 Rocky Mountain Ave., Suite 110, Loveland, CO 80538 |
| Street Address |
2500 ROCKY MOUNTAIN AVE STE 340 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093753352 | Kai F Stobbe | Physician Assistant | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2006-06-02 |
| 1265086391 | Julie Gutierrez Brown | Nurse Practitioner | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2019-07-26 |
| 1982114930 | Tarah Rupert | Nurse Practitioner | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2017-10-04 |
| 1255880688 | Kathryn Hitchcock | Physician Assistant | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2016-09-27 |
| 1992176366 | Matthew Klein | Physician Assistant | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2015-10-12 |
| 1679964662 | Allyson Mclean | Nurse Practitioner | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2015-02-11 |
| 1053411579 | David R. Blatt | Neurological Surgery | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2006-09-24 |
| 1629089685 | Sven Markus Hochheimer | Emergency Medicine | 2500 Rocky Mountain Ave Ste 340, Loveland, CO 80538-9004 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700995438 | Terry Mark Himes | Psychiatry & Neurology | 1635 Foxtrail Dr, Suite 215, Loveland, CO 80538-9086 | 2006-08-29 |
| 1649277807 | Lawrence A Meredith | Psychiatry & Neurology | 2695 Rocky Mountain Ave, Suite 200, Loveland, CO 80538-8702 | 2005-07-03 |
| 1801418769 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 2695 Rocky Mountain Ave Ste 200, Loveland, CO 80538-9075 | 2020-05-14 |
| 1851573976 | Neurology Center of The Rockies, LLC | Psychiatry & Neurology | 310 E 5th St, Loveland, CO 80537-5639 | 2007-11-30 |
| 1902003676 | Colorado Neuroscience Center of The Rockies, Pllc | Psychiatry & Neurology | 1635 Foxtrail Dr, Suite 215, Loveland, CO 80538-9086 | 2007-06-27 |
| 1548466535 | Colorado Sleep Center of The Rockies,pllc | Psychiatry & Neurology | 2500 Rocky Mountain Ave, Suite 3100, Loveland, CO 80538-9004 | 2007-06-26 |
| 1093831687 | Srinivas Bandi | Psychiatry & Neurology | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2007-03-22 |
| 1285645986 | Sheri J Friedman | Psychiatry & Neurology | 2695 Rocky Mountain Ave, Suite 200, Loveland, CO 80538-8702 | 2006-08-10 |
| 1710930136 | Joseph William Schmitt | Psychiatry & Neurology | 2923 Ginnala Dr, Loveland, CO 80538-2702 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1194340414 | Northstar Neurology of Colorado Springs PC | Psychiatry & Neurology | 3920 N Union Blvd Ste 150, Colorado Springs, CO 80907-1907 | 2020-06-11 |
| 1942824610 | Neurology of The Rockies, LLC | Psychiatry & Neurology | 125 Inverness Dr E Ste 330, Englewood, CO 80112-5138 | 2020-05-29 |
| 1346862372 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 16222 W Us Highway 24 Ste 220, Woodland Park, CO 80863-8763 | 2020-05-13 |
| 1811534050 | Neurology of The Rockies, LLC | Psychiatry & Neurology | 4350 Limelight Ave Ste 250, Castle Rock, CO 80109-8034 | 2019-12-06 |
| 1629614557 | Kenpro, LLC | Psychiatry & Neurology | 5279 Shade Tree Ln, Parker, CO 80134-5029 | 2019-11-26 |
| 1790329035 | Parkview Ancillary Services | Psychiatry & Neurology | 1619 N. Greenwood St., Ste. 402, Pueblo, CO 81003-2658 | 2019-10-30 |
| 1902377179 | Para Health, LLC | Psychiatry & Neurology | 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 | 2018-12-16 |
| 1336622570 | Boulder Neurology and Concussion | Psychiatry & Neurology | 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 | 2018-09-13 |
| 1518478692 | Grabert Health, LLC | Psychiatry & Neurology | 7871 Dutchrock Rd, Colorado Springs, CO 80919-3893 | 2017-10-17 |
| Find all providers with the same taxonomy | ||||
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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.