POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1164052783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164052783 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
1000 W 8th Ave Yuma CO 80759-2641 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9708485405 |
| Practice Fax Number | 9708482348 |
| Mailing Telephone | 9708485405 |
| Mailing Fax Number | 9708482348 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Heart and Vascular Clinic - Yuma | Doing Business As Name - 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 |
1000 W 8TH AVE |
| City | YUMA |
| State | CO |
| Zip Code | 80759-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445041 | Anthony Richard Sanchez II | Orthopaedic Surgery | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2005-05-24 |
| 1457801904 | Christopher Heath Horton | Nurse Practitioner | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2016-10-08 |
| 1972942027 | Rebecca Ann Switzer | Family Medicine | 1000 W 8th Ave, Apt 303, Yuma, CO 80759-2641 | 2013-06-21 |
| 1255605473 | Banner Health Physicians Colorado LLC | Clinic/Center | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2012-03-06 |
| 1952685505 | Tosha Marie Wilson | Nurse Practitioner | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2011-09-30 |
| 1770861874 | David A. Erickson | Physician Assistant | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2011-07-25 |
| 1336263417 | Yuma District Hospital | Medicare Defined Swing Bed Unit | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2007-03-16 |
| 1841343407 | Yuma District Hospital | Clinic/Center | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2007-01-18 |
| 1821103706 | John Glick | Family Medicine | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2006-08-20 |
| 1720086333 | Yuma District Hospital | Home Health | 1000 W 8th Ave, Yuma, CO 80759-2641 | 2005-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265608160 | Yuma Family Dental, P.C. | Clinic/Center | 900 S Ash St, Yuma, CO 80759 | 2008-05-01 |
| 1013049006 | Brock Jonathan Johnson | Dentist | 900 S. Ash St., Yuma, CO 80759 | 2007-03-12 |
| 1861524852 | Erin Crosthwait Nowland | Dentist | 900 South Ash Street, Yuma, CO 80759 | 2007-03-12 |
| 1770628307 | Professional Pharmacy Services, Inc. | Pharmacy | 315 E 8th Ave, Yuma, CO 80759 | 2007-02-21 |
| 1770687154 | Town of Yuma | Ambulance | 302 E 2nd Ave, Yuma, CO 80759 | 2006-09-07 |
| 1437114428 | Elizabeth L Hickman | Psychologist | 215 South Ash, Yuma, CO 80759 | 2006-04-20 |
| 1972913960 | Bgr Dental, Pllc | Clinic/Center | 900 S Ash St, Yuma, CO 80759 | 2014-04-30 |
| 1023251592 | Elena Sarai Melendez | Massage Therapist | 313 N Buffalo St, Yuma, CO 80759-1605 | 2009-04-14 |
| 1548444151 | Hannah L Martens | Counselor | 215 S Ash St, Yuma, CO 80759-1903 | 2007-12-19 |
| 1134606205 | Chery Beaupreuz | Social Worker | 215 S Ash St, Yuma, CO 80759-1903 | 2018-07-23 |
| Find all providers in zip 80759 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1891945275 | Yuma Heart Institute, LLC | Internal Medicine | 1773 West 24th Street Suite B, Yuma, AZ 85364 | 2008-09-23 |
| 1770608275 | Sharon Shahrzad Sadeghinia | Internal Medicine | 2281 W 24th St Ste 12, Yuma, AZ 85364-6197 | 2007-03-21 |
| 1386742864 | Khidir A Osman | Internal Medicine | 789 W 27th St, Suite 1, Yuma, AZ 85364-7207 | 2006-09-20 |
| 1962507632 | Tony T P Chee | Internal Medicine | 1773 W 24th St, Ste B, Yuma, AZ 85364-6230 | 2006-09-14 |
| 1366475394 | Noel Gutierrez | Internal Medicine | 789 W 27th St Ste 1, Yuma, AZ 85364-7207 | 2006-07-10 |
| 1598735045 | Alberto Mejia | Internal Medicine | 2400 S Avenue, Yuma, AZ 85364-7127 | 2006-01-26 |
| 1568432193 | Joseph Anthony Cardenas | Internal Medicine | 1975 W 24th St, Yuma, AZ 85364-6105 | 2006-01-25 |
| 1447242458 | Sugata Das | Internal Medicine | 1965 W 24th St, Suite B, Yuma, AZ 85364-6244 | 2005-08-16 |
| 1518311687 | Cardiovascular Specialist PC | Internal Medicine | 2281 W 24th St, Ste 12, Yuma, AZ 85364-6154 | 2016-04-14 |
| 1164709929 | Husnu Evren Kaynak | Internal Medicine | 789 W 27th St, Suite 1, Yuma, AZ 85364-7207 | 2011-11-08 |
| Find all providers in YUMA | ||||
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.