POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1558983650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558983650 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
2500 Rocky Mountain Ave Ste 2200 Loveland CO 80538-9004 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9702037050 |
| Practice Fax Number | 9702037055 |
| Mailing Telephone | 9702037050 |
| Mailing Fax Number | 9702037055 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Internal Medicine - East Loveland | 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 |
2500 ROCKY MOUNTAIN AVE STE 2200 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285747857 | George H Phillips | Urology | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2006-08-16 |
| 1326654369 | Poudre Valley Medical Group, LLC | Urology | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-09-16 |
| 1730794033 | Poudre Valley Medical Group, LLC | Urology | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-09-14 |
| 1780299321 | Poudre Valley Medical Group, LLC | Surgery | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-09-10 |
| 1902419138 | Poudre Valley Medical Group, LLC | Internal Medicine | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-08-27 |
| 1760007587 | Poudre Valley Medical Group, LLC | Pain Medicine | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-06-09 |
| 1295359065 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-06-08 |
| 1871115758 | Poudre Valley Medical Group, LLC | General Practice | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-05-13 |
| 1235758384 | Poudre Valley Medical Group, LLC | Internal Medicine | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2020-04-09 |
| 1801370663 | Amanda J Spaak | Nurse Practitioner | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770967408 | Kenneth A Morris | Internal Medicine | 2695 Rocky Mountain Ave Ste 200, Loveland, CO 80538-9075 | 2015-07-13 |
| 1740419993 | Natasha Joshi | Internal Medicine | 1900 Boise Ave Ste 220, Loveland, CO 80538-5004 | 2009-07-09 |
| 1891922522 | Sindhura Trivedi | Internal Medicine | 221 E 29th St Ste 102, Loveland, CO 80538-2721 | 2009-06-20 |
| 1073780169 | Edward Eugene Grosboll | Internal Medicine | 4808 Elm Ct, Loveland, CO 80538-1903 | 2008-05-08 |
| 1235265091 | Bruce Samuel Worrell | Internal Medicine | 1119 Windsail Cv, Loveland, OH 45140-8097 | 2007-02-26 |
| 1568515492 | Centennial Medical Clinic | Internal Medicine | 232 W 4th St, Loveland, CO 80537-5525 | 2007-01-22 |
| 1043226368 | Karyn P Leible | Internal Medicine | 1303 E 11th St, Loveland, CO 80537-5051 | 2006-07-31 |
| 1194742981 | Bertrand Needham Honea | Internal Medicine | 945 Logan Ct, Loveland, CO 80538-3100 | 2006-07-16 |
| 1598724437 | Anthony Jay Van Goor | Internal Medicine | 947 Mariana Hills Ct, Loveland, CO 80537-7931 | 2006-03-20 |
| 1619947579 | Rocky Mountain Infectious Disease Consultants PC | Internal Medicine | 1625 Foxtrail Dr Ste 200, Loveland, CO 80538-9089 | 2006-01-24 |
| Find all providers in LOVELAND | ||||
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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.