POUDRE VALLEY RADIATION ONCOLOGY LLC (NPI# 1538137955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538137955 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY RADIATION ONCOLOGY LLC |
| Practice Address |
2121 East Harmony Road Suite 160 Fort Collins CO 80528-0403 |
| Mailing Address |
Po Box 211367 Denver CO 80221-0392 |
| Practice Telephone | 9704823328 |
| Practice Fax Number | 9704821433 |
| Mailing Telephone | 3034270648 |
| Mailing Fax Number | 3034270433 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | MRS. GLENDA ORR (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 3034270648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 95670033 | 05 |
| Street Address |
2121 EAST HARMONY ROAD SUITE 160 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-0403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427147081 | Sally A Knaver Md PC | Orthopaedic Surgery | 2121 East Harmony Road, Suite 290, Fort Collins, CO 80528 | 2006-10-12 |
| 1982703021 | Regina J Brown | Internal Medicine | 2121 East Harmony Road, 150, Fort Collins, CO 80528 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497060180 | Poudre Valley Medical Group, LLC | Radiology | 2121 E Harmony Rd Unit 160, Fort Collins, CO 80528-3413 | 2010-08-18 |
| 1710053681 | Joshua H Petit | Radiology | 2121 E Harmony Rd, Ste 160, Fort Collins, CO 80528-3400 | 2006-11-24 |
| 1669401642 | Meng L Lim | Radiology | 2121 E Harmony Rd, Ste 160, Fort Collins, CO 80528-3400 | 2006-07-01 |
| 1457397440 | Gwen H Lisella | Radiology | 2121 E Harmony Rd, Ste 160, Fort Collins, CO 80528-3400 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1104439322 | Poudre Valley Medical Group, LLC | Radiology | 525 Bob Peters Grv Ste 100, Colorado Springs, CO 80909-4533 | 2020-08-27 |
| 1093005738 | Timothy Victor Waxweiler | Radiology | 525 Bob Peters Grv, Radiation Oncology, Colorado Springs, CO 80950-0001 | 2011-04-14 |
| 1609020312 | Sana Dole Karam | Radiology | 1665 Aurora Ct Ste 1032, Aurora, CO 80045-2517 | 2008-11-07 |
| 1598912735 | Jeffrey R Olsen | Radiology | 535 Peters Grove Suite 100, Colorado Springs, CO 80909-4533 | 2008-08-19 |
| 1265697890 | Carole Lepper Milligan | Radiology | 1320 Blue Spruce Ct, Steamboat Springs, CO 80487-3027 | 2008-07-23 |
| 1528233905 | Valley Radiotherapy Associates Medical Group Inc | Radiology | 799 E. Hampden Avenue, Englewood, CO 80113-2700 | 2008-04-25 |
| 1285834945 | Eugene Chung | Radiology | 4700 Hale Pkwy Ste 150, Denver, CO 80220-4054 | 2007-07-20 |
| 1497887624 | Seth D Reiner | Radiology | 2555 S. Downing St, Denver, CO 80210 | 2007-03-12 |
| 1689763369 | The Prostate Seed Center, LLC | Radiology | 3440 Youngfield St Pmb 115, Wheat Ridge, CO 80033-5245 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.