POUDRE VALLEY MEDICAL GROUP, LLC


Address: 16222 W Us Highway 24 Ste 220, Woodland Park, CO 80863-8763
Phone: 7193657300

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1346862372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346862372
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
Practice Address 16222 W Us Highway 24 Ste 220
Woodland Park
CO 80863-8763
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 7193657300
Practice Fax Number 7193657301
Mailing Telephone 7193657300
Mailing Fax Number 7193657301
Enumeration Date 2020-05-13
Last Update Date 2020-05-13
Authorized Official Name JANA CONROY (CREDENTIALING MANAGER)
Authorized Official Telephone 9706244443
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Neurology Clinic - Woodland Park Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Poudre Valley Medical Group, LLC 2695 Rocky Mountain Ave., Suite 110, Loveland, CO 80538

Office Location

Street Address 16222 W US HIGHWAY 24 STE 220
City WOODLAND PARK
State CO
Zip Code 80863-8763

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518576867 Poudre Valley Medical Group, LLC Orthopaedic Surgery 333 North West Street, Woodland Park, CO 80863 2020-07-23
1003461476 Alive Connections Counseling, LLC Community/Behavioral Health 321 West Henrietta Avenue, Office D-8, Woodland Park, CO 80863 2019-08-02
1720630130 Jennifer Fuller James Social Worker 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 2019-07-15
1558861815 Thrive Primary Care At Woodland Park LLC Nurse Practitioner 1067 Us 24, 276, Woodland Park, CO 80863 2018-02-13
1841712080 Jamie Andersen Marriage & Family Therapist 321 W. Henrietta Ave, Suite B, Woodland Park, CO 80863 2017-07-10
1720438492 Laurie Kim Warchol Counselor 321 West Henrietta, Woodland Park, CO 80863 2016-06-14
1255788402 Colorado Lions Camp Inc Respite Care 28541 Highway 67, Wooodand Park, CO 80863 2016-05-18
1619337193 Ariana Papi Specialist/Technologist, Other 16240 W Hwy 24, Woodland Park, CO 80863 2016-02-26
1104281864 Daybreak-an Adult Day Program Respite Care 404 North Highway 67, Woodland Park, CO 80863 2015-12-23
1104281906 Kingdom Pediatric Therapy Speech-Language Pathologist 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 2015-12-21
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669070306 Lower Valley Hospital Association Psychiatry & Neurology 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 2020-10-14
1194340414 Northstar Neurology of Colorado Springs PC Psychiatry & Neurology 3920 N Union Blvd Ste 150, Colorado Springs, CO 80907-1907 2020-06-11
1942824610 Neurology of The Rockies, LLC Psychiatry & Neurology 125 Inverness Dr E Ste 330, Englewood, CO 80112-5138 2020-05-29
1811534050 Neurology of The Rockies, LLC Psychiatry & Neurology 4350 Limelight Ave Ste 250, Castle Rock, CO 80109-8034 2019-12-06
1629614557 Kenpro, LLC Psychiatry & Neurology 5279 Shade Tree Ln, Parker, CO 80134-5029 2019-11-26
1790329035 Parkview Ancillary Services Psychiatry & Neurology 1619 N. Greenwood St., Ste. 402, Pueblo, CO 81003-2658 2019-10-30
1902377179 Para Health, LLC Psychiatry & Neurology 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 2018-12-16
1336622570 Boulder Neurology and Concussion Psychiatry & Neurology 400 Mccaslin Blvd, Suite 200, Louisville, CO 80027 2018-09-13
1518478692 Grabert Health, LLC Psychiatry & Neurology 7871 Dutchrock Rd, Colorado Springs, CO 80919-3893 2017-10-17
1316464076 Boulder Valley Iom, LLC Psychiatry & Neurology 4375 W 118th Place, Westminster, CO 80031 2017-08-24
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Competitor

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City WOODLAND PARK
Zip Code 80863

Improve Information

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Dataset Information

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.

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