POUDRE VALLEY MEDICAL GROUP, LLC


Address: 3830 Grant Ave, Loveland, CO 80538-8412
Phone: 9707763222

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1578171609) 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) 1578171609
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
Practice Address 3830 Grant Ave
Loveland
CO 80538-8412
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 9707763222
Practice Fax Number 9707763226
Mailing Telephone 9707763222
Mailing Fax Number 9707763226
Enumeration Date 2020-07-15
Last Update Date 2020-07-15
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 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Orthopedics Clinic - North Loveland 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 3830 GRANT AVE
City LOVELAND
State CO
Zip Code 80538-8412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063442655 Josef Marion Planansky Chiropractor 3830 Grant Ave, Loveland, CO 80538-8412 2006-07-03
1720691306 Poudre Valley Medical Group, LLC Physical Therapist 3830 Grant Ave, Loveland, CO 80538-8412 2020-08-25
1184989048 Colorado Neuroscience and Spine Consultants of The Rockies PC Neurological Surgery 3830 Grant Ave, Loveland, CO 80538-8412 2012-07-06
1669790515 Colorado Orthopedic and Hand Surgery Orthopaedic Surgery 3830 Grant Ave, Loveland, CO 80538-8412 2010-05-16

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558638106 Arthur Bill Kieger Sr. Orthopaedic Surgery 2318 South County Rd, #9, Loveland, CO 80537 2011-11-28
1164432159 Louis Tartaglia Jr. Orthopaedic Surgery 1708 Boise, Loveland, CO 80538-4219 2006-08-09
1265413637 Eric E Young Orthopaedic Surgery 3830 Grant Avenue, Loveland, CO 80538 2005-11-10
1407132244 Longs Peak Pain Management, LLC Orthopaedic Surgery 5285 Mcwhinney Blvd, Suite 145, Loveland, CO 80538-8863 2011-10-25
1669790515 Colorado Orthopedic and Hand Surgery Orthopaedic Surgery 3830 Grant Ave, Loveland, CO 80538-8412 2010-05-16
1356493548 Pain Center of The Rockies Orthopaedic Surgery 3810 N Grant Ave, Loveland, CO 80538 2007-01-17

Providers in the same taxonomy and state

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
1518576867 Poudre Valley Medical Group, LLC Orthopaedic Surgery 333 North West Street, Woodland Park, CO 80863 2020-07-23
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
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Competitor

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City LOVELAND
Zip Code 80538

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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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