POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1679182141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679182141 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
100 Cook Street Suite 202 Denver CO 80206 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7205169413 |
| Practice Fax Number | 7205169441 |
| Mailing Telephone | 7205169413 |
| Mailing Fax Number | 7205169441 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| 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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Cancer Care and Hematology Clinic - Cherry Creek | 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 |
100 COOK STREET SUITE 202 |
| City | DENVER |
| State | CO |
| Zip Code | 80206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194776898 | Mara Mindy Isser Sax | Physical Medicine & Rehabilitation | 100 Cook Street, Suite 402, Denver, CO 80206 | 2006-05-15 |
| 1487251948 | University of Colorado Hospital Authority | Clinical Medical Laboratory | 100 Cook Street, Room 2 062, Denver, CO 80206-5322 | 2020-10-07 |
| 1720697295 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 408, Denver, CO 80206 | 2020-07-30 |
| 1538778006 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 100 Cook Street, Suite 402, Denver, CO 80206 | 2020-07-30 |
| 1922617497 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 412, Denver, CO 80206 | 2020-07-30 |
| 1396354866 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 408, Denver, CO 80206 | 2020-07-30 |
| 1205445772 | Poudre Valley Medical Group, LLC | Dermatology | 100 Cook Street, Suite 306, Denver, CO 80206 | 2020-07-30 |
| 1194334664 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 100 Cook Street, Suite 406, Denver, CO 80206 | 2020-07-30 |
| 1912516485 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 100 Cook Street, Suite 402, Denver, CO 80206 | 2020-07-30 |
| 1821607391 | Poudre Valley Medical Group, LLC | Surgery | 100 Cook Street, Suite 306, Denver, CO 80206 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439924 | Cancer Centers of Colorado, LLC | Internal Medicine | 1601 Lowell Blvd Ste 150, Denver, CO 80204-1545 | 2017-11-02 |
| 1851667596 | Michelle A Levy | Internal Medicine | 1800 N Williams St Ste 200, Denver, CO 80218-1237 | 2012-03-27 |
| 1598706186 | Deborah R Cook | Internal Medicine | 1825 Marion St, Denver, CO 80218-1122 | 2006-06-08 |
| 1982675500 | Martin Joseph Rubinowitz | Internal Medicine | 1960 Ogden St Ste 310, Denver, CO 80218-3674 | 2006-01-31 |
| 1891779534 | Mark Wilson Brunvand | Internal Medicine | 1721 E 19th Ave, Ste 300, Denver, CO 80218-1251 | 2005-12-06 |
| 1922082643 | Alan S Feiner | Internal Medicine | 4700 East Hale Pkwy, Ste 400, Denver, CO 80220-4045 | 2005-12-06 |
| 1528042249 | Scott Irvin Bearman | Internal Medicine | 1721 E 19th Ave Ste 300, Denver, CO 80218-1258 | 2005-12-06 |
| 1134103476 | Robert Melvin Rifkin | Internal Medicine | 1800 Williams St, Ste 200, Denver, CO 80218 | 2005-11-30 |
| 1215911540 | Scot M Sedlacek | Internal Medicine | 4700 E. Hale Parkway, Ste 400, Denver, CO 80220 | 2005-11-30 |
| 1588278519 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 1375 E 19th Ave, Denver, CO 80218-1114 | 2020-09-08 |
| Find all providers in DENVER | ||||
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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.