POUDRE VALLEY MEDICAL GROUP, LLC


Address: 5050 Powderhouse Rd, Cheyenne, WY 82009-4800
Phone: 9702037190

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1346864790) 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) 1346864790
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
Other Organization Name UCHEALTH PAIN MANAGEMENT CLINIC - CHEYENNE
Practice Address 5050 Powderhouse Rd
Cheyenne
WY 82009-4800
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 9702037190
Practice Fax Number 9702037099
Mailing Telephone 9702037190
Mailing Fax Number 9702037099
Enumeration Date 2020-06-02
Last Update Date 2020-09-01
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 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Pain Management Clinic - Cheyenne 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 5050 POWDERHOUSE RD
City CHEYENNE
State WY
Zip Code 82009-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316920549 Reed Clifton Shafer Psychiatry & Neurology 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2005-11-22
1225641442 Poudre Valley Medical Group, LLC Internal Medicine 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2020-08-27
1174136394 Poudre Valley Medical Group, LLC Internal Medicine 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2020-08-27
1013520345 Poudre Valley Medical Group, LLC Family Medicine 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2020-08-26
1952923971 Poudre Valley Medical Group, LLC Psychiatry & Neurology 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2020-05-13
1063031680 Poudre Valley Medical Group, LLC Internal Medicine 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2020-04-14
1518586114 Poudre Valley Medical Group, LLC Internal Medicine 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2020-04-14
1255771259 Megan Marie Auer Registered Nurse 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2013-07-05
1710110457 Ambrish M Patel Physician Assistant 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2009-08-28
1972701381 Wyoming Orthopedic and Sports Medicine, LLC Orthopaedic Surgery 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 2007-07-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659840841 King & Associates LLC Private Vehicle 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 2018-11-16
1710495700 Wyoming Endoscopy Center LLC Clinic/Center 7220 Comons Circle, Cheyenne, WY 82009 2018-01-12
1912442682 Lindsey Thurmes Mccoy Dietitian, Registered 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 2017-01-04
1306380696 Alexandra Gill Social Worker 3304 East 1-80 Service Rd., Cheyenne, WY 82009 2016-12-06
1104213859 Jennifer Schwartz Specialist 2601 Plain View Rd, Cheyenne, WY 82009 2015-04-21
1861830465 Tyler Boyd Dentist 7209 Commons Cir Unit A, Cheyenne, WY 82009 2013-06-05
1639513351 Gene E Darnell Pharmacist 3702 Del Range Blvd, Cheyenne, WY 82009 2013-04-24
1376891952 Robert R Kanard Internal Medicine 714 Edward Dr, Cheyenne, WY 82009 2012-08-29
1639443336 Jennifer Alam Case Manager/Care Coordinator 3304 E. I80 Service Rd, Cheyenne, WY 82009 2012-02-28
1376815357 Christina Kay Brown Licensed Practical Nurse 3304 E I80 Service Rd, Cheyenne, WY 82009 2012-02-06
Find all providers in zip 82009

Taxonomy Information

Taxonomy Code 208VP0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Pain Medicine

Taxonomy Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Notes: Source: American Academy of Pain Medicine, www.painmed.org
- Additional Resources:The American Board of Pain Medicine provides Board Certification.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356572580 Jennifer Lynn Rosics Pain Medicine 5850 E 2nd St Unit 100, Casper, WY 82609-4343 2009-08-05
1942288931 Tuenis D Zondag Pain Medicine 1026 East Second St, Casper, WY 82601 2006-01-09
1710530837 Best Care Family Practice LLC Pain Medicine 520 Wilkes Dr Ste 13, Green River, WY 82935-4854 2019-07-17
1508939307 Rhonda Sue Mclaughlin Pain Medicine 329 Main St, Lander, WY 82520-3101 2006-11-17
1316981798 Meghan Ann Mc Mackin Pain Medicine 2620 Commercial Way Ste 20, Rock Springs, WY 82901-4705 2006-06-15
1114928223 Geoffrey K Skene Pain Medicine 555 E Broadway, Jackson, WY 83001-9496 2005-08-10

Competitor

Search similar providers

City CHEYENNE
Zip Code 82009

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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