POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1295364438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295364438 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
1925 Mountain View Ave Longmont CO 80501-3128 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7204943120 |
| Practice Fax Number | 7204943113 |
| Mailing Telephone | 7204943120 |
| Mailing Fax Number | 7204943113 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| 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 | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| UCHealth Audiology Clinic - Longmont | 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 |
1925 MOUNTAIN VIEW AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538555 | Amy Lou Johnson | Obstetrics & Gynecology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2005-06-14 |
| 1013522192 | Poudre Valley Medical Group, LLC | Urology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-15 |
| 1164037248 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-15 |
| 1003421306 | Poudre Valley Medical Group, LLC | Urology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-14 |
| 1922613603 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-09-10 |
| 1679186803 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1942813167 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1194338319 | Poudre Valley Medical Group, LLC | Radiology | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-27 |
| 1740893197 | Poudre Valley Medical Group, LLC | Surgery | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-26 |
| 1073126652 | Poudre Valley Medical Group, LLC | Pediatrics | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891944245 | Sean Adam Barak | Audiologist | 1325 Dry Creek Dr Ste 103, Longmont, CO 80503-7732 | 2008-09-10 |
| 1851436075 | Whitney L Swander | Audiologist | 1515 Main St Ste 15, Longmont, CO 80501-2868 | 2007-02-21 |
| 1871515825 | Jamie Renee Gilgren | Audiologist | 2318 17th Ave, Unit H, Longmont, CO 80501-9747 | 2006-07-25 |
| 1801887575 | Marsha Lee Sano | Audiologist | 1146 Francis St, Longmont, CO 80501-3704 | 2005-11-02 |
| 1366433039 | D'anne Patricia Rudden | Audiologist | 195 S Main St Ste 8, Longmont, CO 80501-6218 | 2005-11-02 |
| 1952784720 | Melissa Kristelle Fling | Audiologist | 1146 Francis St, Longmont, CO 80501-3704 | 2015-06-29 |
| 1649612649 | Hearing Rehabilitation Center Inc | Audiologist | 2318 17th Ave, Unit H, Longmont, CO 80501-9747 | 2013-07-19 |
| 1952664138 | Melissa Robin Weisser | Audiologist | 1515 Main St, Suite 15, Longmont, CO 80501-2864 | 2012-06-21 |
| 1720237597 | Whitney Swander Audiology, Inc | Audiologist | 1515 N Main St, Suite 15, Longmont, CO 80501-2864 | 2008-09-16 |
| 1407937279 | Rudden Audiology, Inc. | Audiologist | 195 S Main St Ste 8, Longmont, CO 80501-6218 | 2006-10-18 |
| Find all providers in LONGMONT | ||||
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.