POUDRE VALLEY MEDICAL GROUP, LLC


Address: 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432
Phone: 7207335290

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1346864188) 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) 1346864188
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
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 7207335290
Practice Fax Number 7207335291
Mailing Telephone 7207335290
Mailing Fax Number 7207335291
Enumeration Date 2020-06-07
Last Update Date 2020-06-07
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 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Occupational Medicine Clinic - Castle Rock 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 4404 BARRANCA LN UNIT 101
City CASTLE ROCK
State CO
Zip Code 80104-7432

Providers in the same location

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
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
1275020786 Poudre Valley Medical Group, LLC Clinic/Center 4404 Barranca Ln Unit 101, Castle Rock, CO 80104-7432 2018-04-19
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

Providers in the same zip code

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 Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740894963 Scl Health Medical Group - Denver, LLC Preventive Medicine 8515 W Coal Mine Ave Ste 240, Littleton, CO 80123-4429 2020-09-04
1568070944 Scl Health Medical Group - Denver, LLC Preventive Medicine 8350 Colorado Blvd Unit 160, Firestone, CO 80504-6803 2020-07-21
1275171977 Poudre Valley Medical Group, LLC Preventive Medicine 2773 Janitell Rd, Colorado Springs, CO 80906-4102 2019-12-13
1548776784 Telecare Global LLC Preventive Medicine 11 Salvation Circle, Aspen, CO 81611 2017-12-26
1306363650 Bonnie Belinda Mccafferty Preventive Medicine Denver Federal Center, Federal Occupational Health, Building 25, Entrance E-14, Lakewood, CO 80225-0145 2017-08-28
1447784087 Colorado Occupational Partners, Inc. Preventive Medicine 1390 S Potomac St Ste 136, Aurora, CO 80012-4529 2017-04-19
1992040786 Homefront Health and Occupational Medicine LLC Preventive Medicine 1705 32nd St., Evans, CO 80620 2012-12-05
1144598855 Daniel Thau Teitelbaum Preventive Medicine 355 Ogden St, Denver, CO 80218-3867 2011-12-08
1952604985 Michael Verne Ladwig Preventive Medicine 6900 E 47th Avenue Dr Ste 100, Denver, CO 80216-3449 2010-12-14
1831374776 Lisa Beth Ferstenberg Preventive Medicine 302 W Orman Ave, Pueblo, CO 81004-1855 2008-01-09
Find all providers with the same taxonomy

Competitor

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City CASTLE ROCK
Zip Code 80104

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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