POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1225506447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225506447 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | UCHEALTH URGENT CARE - STEELE STREET |
| Practice Address |
311 Steele St Denver CO 80206-4479 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 3033724000 |
| Practice Fax Number | 3033724001 |
| Mailing Telephone | 3033724000 |
| Mailing Fax Number | 3033724001 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | JANA CONROY (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9706244443 |
| Authorized Official Credential | MBA, RHIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000146132 | 05 |
| Other Name | Type Code |
|---|---|
| UCHealth Medical Group | Doing Business As Name - Organization |
| UCHealth Urgent Care - Steele Street | 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 |
311 STEELE ST |
| City | DENVER |
| State | CO |
| Zip Code | 80206-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260951 | Alicia Dower | Physician Assistant | 311 Steele St, Denver, CO 80206-4479 | 2005-10-27 |
| 1194339853 | Poudre Valley Medical Group, LLC | Internal Medicine | 311 Steele St, Denver, CO 80206-4479 | 2020-09-01 |
| 1114530466 | Poudre Valley Medical Group, LLC | Family Medicine | 311 Steele St, Denver, CO 80206-4479 | 2020-08-26 |
| 1336538776 | Mary Nguyen | Physician Assistant | 311 Steele St, Denver, CO 80206-4479 | 2015-01-22 |
| 1891041810 | Valorie Anne Baxter | Physician Assistant | 311 Steele St, Denver, CO 80206-4479 | 2012-07-27 |
| 1225392459 | Trevor W. Shull | Family Medicine | 311 Steele St, Denver, CO 80206 | 2012-07-03 |
| 1780910877 | Andrea Yvonne Pleune | Physician Assistant | 311 Steele St, Denver, CO 80206-4479 | 2009-10-23 |
| 1942435680 | Sara Michelle Corr | Internal Medicine | 311 Steele St, Denver, CO 80206-4479 | 2009-05-26 |
| 1285823872 | Mark Alan Adams | Physical Therapy Assistant | 311 Steele St, Ste 200, Denver, CO 80206-4479 | 2007-10-18 |
| 1194935023 | Elizabeth Eun Hae Rice De | Internal Medicine | 311 Steele St, Denver, CO 80206-4479 | 2007-05-22 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1518507375 | Portercare Adventist Health System | Clinic/Center | 7000 E Hampden, Denver, CO 80224 | 2020-01-09 |
| 1659830032 | Denver Health and Hospital Authority | Clinic/Center | 1545 California St, Denver, CO 80202-4214 | 2019-03-15 |
| 1902333206 | Rocky Mountain Physicians Group, PC | Clinic/Center | 534 E Colfax Ave, Denver, CO 80203-2018 | 2017-05-17 |
| 1497282792 | Rocky Mountain Physicians Group, PC | Clinic/Center | 3890 Quebec St Unit A, Denver, CO 80207-1608 | 2017-05-17 |
| 1205363504 | Rocky Mountain Physicians Group, PC | Clinic/Center | 850 S Monaco Pkwy Ste 10, Denver, CO 80224-1569 | 2017-05-17 |
| 1295271963 | Roberta A Owens | Clinic/Center | 5430 Perth St, Denver, CO 80249-8405 | 2017-01-18 |
| 1568904100 | Urgent Care Solutions Glendale, PC | Clinic/Center | 3800 Irving St, Denver, CO 80211-1935 | 2016-11-14 |
| 1275973240 | American Current Care Pa | Clinic/Center | 875 S Colorado Blvd, Denver, CO 80246-8016 | 2013-07-05 |
| 1932402898 | Ann T. Klein, Md, PC | Clinic/Center | 760 South Colorado Boulevard, Denver, CO 80248 | 2010-12-15 |
| 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.