POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1518576867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518576867 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
333 North West Street Woodland Park CO 80863 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7193651950 |
| Practice Fax Number | 7193651951 |
| Mailing Telephone | 7193651950 |
| Mailing Fax Number | 7193651951 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| 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 | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Orthopedics Clinic - Woodland Park | 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 |
333 NORTH WEST STREET |
| City | WOODLAND PARK |
| State | CO |
| Zip Code | 80863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1922479633 | Forest Ridge Senior Living, LLC | Skilled Nursing Facility | 16006 W Js Highway 24, Woodland Park, CO 80863 | 2015-10-08 |
| Find all providers in zip 80863 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770578692 | Michael G Messner | Orthopaedic Surgery | 333 North West St, Woodland Park, CO 80863-0208 | 2005-09-16 |
| 1770879249 | Peter F. Dipaolo, Md, Pa | Orthopaedic Surgery | 1225 Mcbride Ave, Suite 111, Woodland Park, NJ 07424-2540 | 2011-06-23 |
| 1205016698 | Pike's Peak Orthopedics Prof., LLC | Orthopaedic Surgery | 333 North West St, Woodland Park, CO 80863-0208 | 2007-11-14 |
| 1437219045 | Peter F Dipaolo | Orthopaedic Surgery | 1225 Mcbride Ave, Suite 111, Woodland Park, NJ 07424-2540 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421397 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 9950 W 80th Ave Ste 24, Arvada, CO 80005-3914 | 2020-09-13 |
| 1194330662 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 6179 S Balsam Way Ste 230, Littleton, CO 80123-3095 | 2020-09-11 |
| 1891309910 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 400 Indiana St Ste 350, Golden, CO 80401-5065 | 2020-09-04 |
| 1346854460 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 401 W Hampden Pl Ste 100, Englewood, CO 80110-2471 | 2020-09-04 |
| 1326652553 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 10371 Parkglenn Way Ste 220, Parker, CO 80138-3872 | 2020-09-04 |
| 1659985075 | Healthone Clinic Services-surgical Specialties LLC | Orthopaedic Surgery | 1601 E 19th Ave Ste 6100, Denver, CO 80218-1255 | 2020-09-02 |
| 1508475278 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1263 Lake Plaza Dr Ste 210a, Colorado Springs, CO 80906-3564 | 2020-07-28 |
| 1790393635 | Vail Summit Orthopaedics | Orthopaedic Surgery | 360 Peak One Dr Ste 180, Frisco, CO 80443-5948 | 2020-07-16 |
| 1942818125 | Vail Summit Orthopaedics | Orthopaedic Surgery | 1140 Edwards Village Blvd Ste B-105, Edwards, CO 81632-5525 | 2020-07-14 |
| 1245854470 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2200, Brighton, CO 80601-4008 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND PARK |
| Zip Code | 80863 |
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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.