POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1194334664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194334664 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
100 Cook Street Suite 406 Denver CO 80206 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7205169417 |
| Practice Fax Number | 7205169445 |
| Mailing Telephone | 7205169417 |
| Mailing Fax Number | 7205169445 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| 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 | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Orthopedics Clinic - Cherry Creek | 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 |
100 COOK STREET SUITE 406 |
| City | DENVER |
| State | CO |
| Zip Code | 80206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194776898 | Mara Mindy Isser Sax | Physical Medicine & Rehabilitation | 100 Cook Street, Suite 402, Denver, CO 80206 | 2006-05-15 |
| 1487251948 | University of Colorado Hospital Authority | Clinical Medical Laboratory | 100 Cook Street, Room 2 062, Denver, CO 80206-5322 | 2020-10-07 |
| 1720697295 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 408, Denver, CO 80206 | 2020-07-30 |
| 1538778006 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 100 Cook Street, Suite 402, Denver, CO 80206 | 2020-07-30 |
| 1922617497 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 412, Denver, CO 80206 | 2020-07-30 |
| 1679182141 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 202, Denver, CO 80206 | 2020-07-30 |
| 1396354866 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 408, Denver, CO 80206 | 2020-07-30 |
| 1205445772 | Poudre Valley Medical Group, LLC | Dermatology | 100 Cook Street, Suite 306, Denver, CO 80206 | 2020-07-30 |
| 1912516485 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 100 Cook Street, Suite 402, Denver, CO 80206 | 2020-07-30 |
| 1821607391 | Poudre Valley Medical Group, LLC | Surgery | 100 Cook Street, Suite 306, Denver, CO 80206 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985075 | Healthone Clinic Services-surgical Specialties LLC | Orthopaedic Surgery | 1601 E 19th Ave Ste 6100, Denver, CO 80218-1255 | 2020-09-02 |
| 1275045049 | University Physicians, Incorporated | Orthopaedic Surgery | 2000 S Colorado Blvd Ste 4500, Denver, CO 80222-7900 | 2017-11-01 |
| 1942575139 | Alexander Lauder | Orthopaedic Surgery | 777 Bannock St Dept of Orthopedics, Mc 0188, Denver, CO 80204-4597 | 2012-03-20 |
| 1699086512 | Sean Baran | Orthopaedic Surgery | 1830 N Franklin St Ste 450, Denver, CO 80218-1128 | 2010-06-25 |
| 1477884302 | The Charlotte-mecklenburg Hospital Authority | Orthopaedic Surgery | 275 Highway 16 N, Suite 202, Denver, NC 28037-3002 | 2010-01-15 |
| 1265660120 | Timothy James Ewald | Orthopaedic Surgery | 269 Gillman Rd Ste 200b, Denver, NC 28037-7922 | 2009-06-30 |
| 1033399894 | Robert J Bess, Md Facs | Orthopaedic Surgery | Dept 2078, Denver, CO 80291-0001 | 2007-11-09 |
| 1639299373 | Richard Garrett May | Orthopaedic Surgery | 35 S Glencoe St, Denver, CO 80246-1150 | 2007-03-29 |
| 1063543759 | Ira Stephen Davis | Orthopaedic Surgery | 1401 Wewatta St Unit 1104, Denver, CO 80202-1348 | 2007-03-07 |
| 1649297219 | Dennis Hsu-cheng Chang | Orthopaedic Surgery | 4700 Hale Pkwy Ste 360, Denver, CO 80220-4041 | 2006-07-17 |
| Find all providers in DENVER | ||||
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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.