POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1275020786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275020786 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | UCHEALTH URGENT CARE - CASTLE ROCK |
| Practice Address |
4404 Barranca Ln Unit 101 Castle Rock CO 80104-7432 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7207335260 |
| Practice Fax Number | 7207335290 |
| Mailing Telephone | 7207335260 |
| Mailing Fax Number | 7207335290 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | JANA CONROY (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9706244443 |
| Authorized Official Credential | 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 |
| Other Name | Type Code |
|---|---|
| UCHealth Medical Group | Doing Business As Name - Organization |
| UCHealth Urgent Care - Castle Rock | 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 |
4404 BARRANCA LN UNIT 101 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104-7432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558507087 | Jocelyn Cavender | Physician Assistant | 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432 | 2009-01-06 |
| 1568075885 | Poudre Valley Medical Group, LLC | Family Medicine | 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432 | 2020-08-26 |
| 1346864188 | Poudre Valley Medical Group, LLC | Preventive Medicine | 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432 | 2020-06-07 |
| 1073147179 | Uchealth Community Services | Physical Therapist | 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432 | 2020-02-27 |
| 1962989426 | Emily Diane Orscheln | Physical Therapist | 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432 | 2018-07-26 |
| 1689193799 | Andrea Lawrence | Social Worker | 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432 | 2017-09-11 |
| 1639449549 | Jaimie Zelkin Murphy | Nurse Practitioner | 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432 | 2012-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336386937 | Highlands Ranch Healthcare LLC | Clinic/Center | 4348 Woodlands Blvd # 100, Castle Rock, CO 80104-2800 | 2009-01-19 |
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| 1770192502 | Catholic Health Initiatives Colorado | Clinic/Center | 17230 Jackson Creek Pkwy Ste 120, Monument, CO 80132-7302 | 2020-07-28 |
| 1508483413 | Medventures, Pllc | Clinic/Center | 7280 Lagae Rd Ste I, Castle Pines, CO 80108-9454 | 2020-06-26 |
| 1467078014 | Colorado Mountain Medical, LLC | Clinic/Center | 108 S Frontage Rd W Ste 101, Vail, CO 81657-5087 | 2020-06-19 |
| 1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
| 1861024101 | Catholic Health Initiatives Colorado | Clinic/Center | 4943 Hwy 52, Frederick, CO 80514 | 2020-02-05 |
| 1881225514 | Catholic Health Initiatives Colorado | Clinic/Center | 16320 W 64th Ave, Arvada, CO 80007-7415 | 2020-01-31 |
| 1518507375 | Portercare Adventist Health System | Clinic/Center | 7000 E Hampden, Denver, CO 80224 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
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.