POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1346853603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346853603 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
1700 N Marion St Denver CO 80218-1121 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 3038607770 |
| Practice Fax Number | 3038607775 |
| Mailing Telephone | 3038607770 |
| Mailing Fax Number | 3038607775 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Primary Care - Uptown | 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 |
1700 N MARION ST |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140565 | Cari Langfield | Physician Assistant | 1700 N Marion St, Denver, CO 80218-1121 | 2005-08-10 |
| 1073028361 | Caitlin Alago | Counselor | 1700 N Marion St, Denver, CO 80218-1121 | 2017-12-08 |
| 1790218808 | Poorvi Chhabra Pfenning | Family Medicine | 1700 N Marion St, Denver, CO 80218-1121 | 2017-04-05 |
| 1760928444 | Avenue Primary Care | Family Medicine | 1700 N Marion St, Denver, CO 80218-1121 | 2017-01-18 |
| 1457746216 | Kimberly Ann Cullen | Family Medicine | 1700 N Marion St, Denver, CO 80218-1121 | 2015-03-30 |
| 1003249434 | Gillian Feeley | Physician Assistant | 1700 N Marion St, Denver, CO 80218-1121 | 2013-08-21 |
| 1629367685 | Kevin Michael Piper | Family Medicine | 1700 N Marion St, Denver, CO 80218-1121 | 2011-03-30 |
| 1104961390 | Matthew D Mccoy | Family Medicine | 1700 N Marion St, Denver, CO 80218 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334308 | Emily Laura Milligan | Family Medicine | 1032 E 14th Ave Apt 4, Denver, CO 80218-1923 | 2020-10-20 |
| 1043826795 | Alegis Care of Colorado LLC | Family Medicine | 2000 S Colorado Blvd Ste 1100, Denver, CO 80222-7957 | 2020-09-18 |
| 1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
| 1316551716 | Scl Health Medical Group - Denver, LLC | Family Medicine | 400 S Colorado Blvd Ste 900, Denver, CO 80246-1241 | 2020-09-02 |
| 1760095939 | Scl Health Medical Group - Denver, LLC | Family Medicine | 4859 N Yampa St, Denver, CO 80249 | 2020-08-28 |
| 1760092001 | Bridget Mucha | Family Medicine | 3595 W 29th Ave Apt 29, Denver, CO 80211-3667 | 2020-08-02 |
| 1073131660 | New West Physicians, P.C. | Family Medicine | 7550 W Yale Ave Bldg B, Denver, CO 80227-3465 | 2020-07-09 |
| 1356962849 | Summit Primary Care | Family Medicine | 850 E Harvard Ave Ste 310, Denver, CO 80210-5073 | 2020-05-06 |
| 1902426828 | Rebecca Andrie | Family Medicine | 295 E Speer Blvd, Denver, CO 80203-3578 | 2020-04-21 |
| 1598390247 | Mvc Colorado PC | Family Medicine | 6795 E Tennessee Ave Ste 175, Denver, CO 80224-1646 | 2020-03-03 |
| 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.