PLATTE VALLEY MEDICAL GROUP, LLC (NPI# 1073139648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073139648 |
| Entity Type | Organization |
| Organization Name | PLATTE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
1450 Dexter St Ste 102 Fort Lupton CO 80621-1503 |
| Practice Telephone | 3038577873 |
| Practice Fax Number | 3038577926 |
| Mailing Telephone | 3038577873 |
| Mailing Fax Number | 3038577926 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | JON MCDANIEL (VP FINANCE) |
| Authorized Official Telephone | 3032720231 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Platte Valley Medical Group - Walk In Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129500 | Platte Valley Medical Group, LLC | Obstetrics & Gynecology | 10569 Chambers Rd Unit 103, Commerce City, CO 80022-8951 | 2020-06-19 |
| 1952927527 | Platte Valley Medical Group, LLC | Internal Medicine | 1610 Prairie Center Pkwy Ste 2330, Brighton, CO 80601-4003 | 2020-06-19 |
| 1356965529 | Platte Valley Medical Group, LLC | Internal Medicine | 1606 Prairie Center Pkwy Ste 270, Brighton, CO 80601-4005 | 2020-06-03 |
| 1245854470 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2200, Brighton, CO 80601-4008 | 2020-06-03 |
| 1003430281 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2300, Brighton, CO 80601-4003 | 2020-06-03 |
| 1457975161 | Platte Valley Medical Group, LLC | Family Medicine | 10569 Chambers Rd Unit 102, Commerce City, CO 80022-8951 | 2020-05-29 |
| 1508480146 | Platte Valley Medical Group, LLC | Internal Medicine | 1610 Prairie Center Pkwy Ste 2170, Brighton, CO 80601-4001 | 2020-05-29 |
| 1881218519 | Platte Valley Medical Group, LLC | Family Medicine | 1450 Dexter St Ste 101, Fort Lupton, CO 80621-1503 | 2020-05-28 |
| 1295351823 | Platte Valley Medical Group, LLC | Internal Medicine | 10569 Chambers Rd Unit 102, Commerce City, CO 80022-8951 | 2020-06-19 |
| 1386260958 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1000 Lincoln St, Fort Morgan, CO 80701-3290 | 2020-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Platte Valley Medical Group, LLC | 1600 Prairie Center Parkway, Brighton, CO 80601 |
| Street Address |
1450 DEXTER ST STE 102 |
| City | FORT LUPTON |
| State | CO |
| Zip Code | 80621-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659741247 | Workwellness Inc | Clinic/Center | 1450 Dexter Ave, Fort Lupton, CO 80621 | 2015-09-25 |
| 1386902294 | Kathryn M. Bowker | Counselor | 260 College Ave, Fort Lupton, CO 80621 | 2012-04-27 |
| 1225241946 | Theresa S Doi | Physical Therapist | 721 4th Street, Suite B, Fort Lupton, CO 80621 | 2007-05-08 |
| 1003946450 | Terry W Williams Dc PC | Chiropractor | 331 Park Avenue, Fort Lupton, CO 80621 | 2007-03-06 |
| 1548326200 | Glenda P Walden | Counselor | 120 1st Street, Ft. Lupton, CO 80621 | 2006-12-28 |
| 1447329099 | Caring Hands Pharmacy Inc | Pharmacy | 105 Dales Place, Fort Lupton, CO 80621 | 2006-11-07 |
| 1942382023 | Ft Lupton Medical Team PC | Family Medicine | 308 Denver Ave, Fort Lupton, CO 80621 | 2006-10-19 |
| 1841393253 | Irene Margaret Holloman | Dentist | 229 Denver Ave, Fort Lupton, CO 80621 | 2006-09-07 |
| 1346575586 | North Range Behavioral Health | Clinic/Center | 145 1st St, Fort Lupton, CO 80621 | 2009-10-06 |
| 1366620775 | Terry Wade Williams | Chiropractor | 331 Park Ave, Fort Lupton, CO 80621 | 2008-02-07 |
| Find all providers in zip 80621 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596331 | Usacs of Colorado Inc | Emergency Medicine | 10975 Howells Rd, Colorado Springs, CO 80908-3731 | 2020-10-26 |
| 1427662709 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - Md, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1578177895 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - App, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1700490018 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Health System - Md, 1400 E. Boulder Street, Colorado Springs, CO 80909-5533 | 2020-09-03 |
| 1619581923 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Health System - App, 1400 E. Boulder Street, Colorado Springs, CO 80909-5533 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | FORT LUPTON |
| Zip Code | 80621 |
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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.