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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
UCHealth Pain Management Clinic - Cheyenne | 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 |
5050 POWDERHOUSE RD |
City | CHEYENNE |
State | WY |
Zip Code | 82009-4800 |
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 |
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 Code | 208VP0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Pain Medicine |
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. |
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 |
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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.