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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
UCHealth Occupational Medicine Clinic - Castle Rock | 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 |
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 |
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 |
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 | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
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. |
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 |
City | CASTLE ROCK |
Zip Code | 80104 |
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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.