POUDRE VALLEY MEDICAL GROUP, LLC


Address: 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413
Phone: 9704936337

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Palliative Care - Harmony Campus Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Poudre Valley Medical Group, LLC 2695 Rocky Mountain Ave., Suite 110, Loveland, CO 80538

Office Location

Street Address 2121 E HARMONY RD UNIT 170
City FORT COLLINS
State CO
Zip Code 80528-3413

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT COLLINS
Zip Code 80528

Improve Information

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Dataset Information

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.

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