POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1134748742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134748742 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
1900 16th St Greeley CO 80631-5114 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9703531551 |
| Practice Fax Number | 9703502478 |
| Mailing Telephone | 9703531551 |
| Mailing Fax Number | 9703502478 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| 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 | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Gastroenterology Clinic - Greeley Midtown | 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 |
1900 16TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349823 | Marcus Reinhardt | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2005-07-08 |
| 1750905527 | Poudre Valley Medical Group, LLC | Preventive Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-06-08 |
| 1134743503 | Obstetrix Medical Group of Colorado, P.C. | Obstetrics & Gynecology | 1900 16th St, Greeley, CO 80631-5114 | 2020-06-02 |
| 1336761436 | Poudre Valley Medical Group, LLC | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-05-12 |
| 1144842261 | Poudre Valley Medical Group, LLC | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2020-05-12 |
| 1013576370 | Medical Center of The Rockies | Clinic/Center | 1900 16th St, Greeley, CO 80631-5114 | 2019-06-11 |
| 1891250965 | Poudre Valley Medical Group, LLC | Clinic/Center | 1900 16th St, Greeley, CO 80631-5114 | 2019-02-04 |
| 1205357795 | Kelley Stromer | Pharmacist | 1900 16th St, Greeley, CO 80631-5114 | 2017-07-05 |
| 1023560034 | Kathryn Milizio | Physician Assistant | 1900 16th St, Greeley, CO 80631-5114 | 2016-10-26 |
| 1801265350 | Hebah Refaat | Nurse Practitioner | 1900 16th St, Greeley, CO 80631-5114 | 2015-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669578464 | Thomas A Dowgin | Internal Medicine | 8225 W 20th St, Greeley, CO 80634-3037 | 2006-09-16 |
| 1144540477 | Maheen Sheikh | Internal Medicine | 8225 W 20th St, Greeley, CO 80634-3037 | 2010-06-09 |
| 1326214727 | Ryan Robert Mcwilliams | Internal Medicine | 2010 16th St, Ste A, Greeley, CO 80631 | 2008-05-06 |
| 1033197900 | Steven O Kading | Internal Medicine | 1900 16th St, Greeley, CO 80631-5114 | 2006-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484359 | Gi Care of Colorado Pllc | Internal Medicine | 6031 East Woodmen Rd, Suite 100, Colorado Springs, CO 80923-2606 | 2020-10-15 |
| 1093313900 | Gi Care of Colorado Pllc | Internal Medicine | 3911 Ambrosia St Ste 201, Castle Rock, CO 80109-3888 | 2020-10-13 |
| 1902433865 | Healthone Clinic Services Medical Specialties LLC | Internal Medicine | 6965 Tutt Blvd Ste 210, Colorado Springs, CO 80923-3598 | 2020-03-23 |
| 1245866326 | Healthone Clinic Services Medical Specialties LLC | Internal Medicine | 6965 Tutt Blvd, Colorado Springs, CO 80923-3596 | 2020-03-20 |
| 1720614803 | Healthone Clinic Services Medical Specialties LLC | Internal Medicine | 1808 Boise Ave Ste B, Loveland, CO 80538-5012 | 2020-03-20 |
| 1487210571 | Valley View Hospital Association | Internal Medicine | 1830 Blake Ave Ste 202, Glenwood Springs, CO 81601-4261 | 2019-05-14 |
| 1477907749 | Catholic Health Initiatives Colorado | Internal Medicine | 2030 Mountain View Ave Ste 310, Longmont, CO 80501-3181 | 2016-04-22 |
| 1225472327 | Nathan Schomaker | Internal Medicine | 10103 Ridgegate Pkwy Ste 312a, Lone Tree, CO 80124-5525 | 2013-04-19 |
| 1184967598 | Vihang Vijaykumar Patel | Internal Medicine | 2335 S Downing St Ste 360, Denver, CO 80210-5809 | 2013-04-03 |
| 1174867527 | Donald Lee Chilcoat | Internal Medicine | 7210 S Eudora Ct, Centennial, CO 80122-2400 | 2012-11-23 |
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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.