POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1164030862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164030862 |
Entity Type | Organization |
Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
Practice Address |
2121 E Harmony Rd Unit 170 Fort Collins CO 80528-3413 |
Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
Practice Telephone | 9704936337 |
Practice Fax Number | 9704933528 |
Mailing Telephone | 9704936337 |
Mailing Fax Number | 9704933528 |
Enumeration Date | 2020-07-20 |
Last Update Date | 2020-07-20 |
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 | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
UCHealth Palliative Care - Harmony Campus | 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 |
2121 E HARMONY RD UNIT 170 |
City | FORT COLLINS |
State | CO |
Zip Code | 80528-3413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720171267 | Caroline S. N. Young | Physician Assistant | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2006-10-02 |
1033731138 | Poudre Valley Medical Group, LLC | General Practice | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2020-05-12 |
1831751536 | Kimberly Kinnear | Genetic Counselor, MS | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2019-07-02 |
1477112639 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2019-06-11 |
1497128243 | Allison Machan Faltermier | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-11-02 |
1548633456 | Vincent Andrew Vidaurri | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-11-02 |
1447622428 | Cara Harshberger | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-10-29 |
1982010104 | Alexi Rae Laursen | Nurse Practitioner | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2014-07-08 |
1285946525 | Poudre Valley Medical Group, LLC | Internal Medicine | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2010-07-01 |
1104065218 | Katherine Berdell | Physician Assistant | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528 | 2009-02-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
Find all providers in zip 80528 |
Taxonomy Code | 207RH0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hospice and Palliative Medicine |
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609484302 | Poudre Valley Medical Group, LLC | Internal Medicine | 1024 S Lemay Ave, Fort Collins, CO 80524-3929 | 2020-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457731929 | Catholic Health Initiatives Colorado | Internal Medicine | 9100 E Mineral Cir, 2nd Floor, Centennial, CO 80112-3401 | 2015-05-31 |
1962771196 | John T Lynn | Internal Medicine | 5450 Tech Center Dr, 120, Colorado Springs, CO 80919-2339 | 2011-12-16 |
1598738114 | John G Massone | Internal Medicine | 2594 Trailridge Dr E, Lafayette, CO 80026-3186 | 2006-02-13 |
1477556934 | Tru Community Care | Internal Medicine | 2594 Trailridge Drive East, Lafayette, CO 80026-3187 | 2005-05-27 |
1528676228 | Poudre Valley Medical Group, LLC | Internal Medicine | 6767 29th St, Greeley, CO 80634-5474 | 2020-07-20 |
1982212684 | Poudre Valley Medical Group, LLC | Internal Medicine | 1500 Park Central Dr Ste 101, Highlands Ranch, CO 80129-6692 | 2020-07-20 |
1790393494 | Poudre Valley Medical Group, LLC | Internal Medicine | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-07-20 |
1033749353 | Taylor Martindell | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-01-26 |
1962917013 | Valley View Hospital Association | Internal Medicine | 1906 Blake Ave, Glenwood Springs, CO 81601-4227 | 2017-12-12 |
1174041214 | Life Choice Hospice of Colorado II, LLC | Internal Medicine | 5475 Tech Center Dr Ste 105, Colorado Springs, CO 80919-2336 | 2017-09-08 |
Find all providers with the same taxonomy |
City | FORT COLLINS |
Zip Code | 80528 |
Please comment or provide details below to improve the information on POUDRE VALLEY MEDICAL GROUP, LLC.
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.