POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1679188973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679188973 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
9475 S University Blvd Highlands Ranch CO 80126-7802 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 3034704061 |
| Practice Fax Number | 3034704062 |
| Mailing Telephone | 3034704061 |
| Mailing Fax Number | 3034704062 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| 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 | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UCHealth Urgent Care - Highlands Ranch | 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 |
9475 S UNIVERSITY BLVD |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80126-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195369 | Richard Pang | Internal Medicine | 9475 S University Blvd, Highlands Ranch, CO 80126 | 2005-09-21 |
| 1699322719 | Poudre Valley Medical Group, LLC | General Practice | 9475 S University Blvd, Highlands Ranch, CO 80126-7802 | 2019-08-22 |
| 1356831150 | University of Colorado Hospital Authority | Clinic/Center | 9475 S University Blvd, Highlands Ranch, CO 80126-7802 | 2018-05-16 |
| 1760841480 | Emily Marie Stillwell | Physician Assistant | 9475 S University Blvd, Highlands Ranch, CO 80126-7802 | 2016-02-23 |
| 1215217799 | Lindsay Danette Morton | Physician Assistant | 9475 S University Blvd, Highlands Ranch, CO 80126-7802 | 2011-08-28 |
| 1356667554 | Terry Siriphatnaboon Krause | Family Medicine | 9475 S University Blvd, Highlands Ranch, CO 80126-7802 | 2010-04-13 |
| 1881626216 | Katherine Kirkland Johnson | Registered Nurse | 9475 S University Blvd, Highlands Ranch, CO 80126-7802 | 2006-07-07 |
| 1568431542 | Margarita Sevilla | Family Medicine | 9475 S University Blvd, Highlands Ranch, CO 80126-7802 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866180 | Pediaclinic LLC | Pediatrics | 9555 South University Blvd, Unit B-2, Highlands Ranch, CO 80126 | 2018-10-13 |
| 1083126775 | Speech and Song for Extraordinary Kids, LLC | Speech-Language Pathologist | 8628 S. Forrest Drive, Highlands Ranch, CO 80126 | 2017-11-02 |
| 1629597042 | Great Play of Highlands Ranch | Community/Behavioral Health | 5690 E County Line Pl, Unit D, Highlands Ranch, CO 80126 | 2017-09-18 |
| 1174048003 | Uyen Hoang Le | Pharmacist | 9786 S Bexley Dr, Littleton, CO 80126 | 2017-08-11 |
| 1154841054 | Stephen Andrew Valente | Social Worker | 2465 Lansdowne Ct., Highlands Ranch, CO 80126 | 2017-06-21 |
| 1477080620 | Francine Elizabeth Becker | Counselor | 3011 Wyecliff Way, Highlands Ranch, CO 80126 | 2017-05-18 |
| 1851835789 | Xiaoyan Zhang | Nurse Practitioner | 9152 Kenwoo Ct, Highlands Ranch, CO 80126 | 2016-12-12 |
| 1942654207 | Shruti Gupta | Family Medicine | 9331 S. Colorado Blvd, Suite 200, Highlands Ranch, CO 80126 | 2016-04-22 |
| 1295194017 | Chad Waxman | Psychologist | 10674 Cherrington Street, Highlands Ranch, CO 80126 | 2016-02-22 |
| 1053726331 | Karenfowler Smith | Social Worker | 10640 S. Wildhurst Circle, Highlands Ranch, CO 80126 | 2014-06-25 |
| Find all providers in zip 80126 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699261 | Portercare Adventist Health System | Clinic/Center | 9205 S Broadway, Highlands Ranch, CO 80129-5631 | 2020-01-31 |
| 1366091019 | Pahs Onpoint Urgent Care LLC | Clinic/Center | 9205 S Broadway, Highlands Ranch, CO 80129-5631 | 2019-09-05 |
| 1811555022 | Pahs Onpoint Urgent Care LLC | Clinic/Center | 1805 Shea Center Dr Ste 301, Highlands Ranch, CO 80129-2277 | 2019-06-03 |
| 1720440993 | Arapahoe Urgent Care Inc | Clinic/Center | 8671 S Quebec St, Ste. 130, Highlands Ranch, CO 80130-5859 | 2016-03-25 |
| 1356752430 | Medventures, Pllc | Clinic/Center | 9137 Ridgeline Blvd, Suite 100, Highlands Ranch, CO 80129-2393 | 2014-05-12 |
| 1477810307 | American Current Care Pa | Clinic/Center | 9330 S University Blvd, Ste 100 & 120, Highlands Ranch, CO 80126-5065 | 2012-04-17 |
| 1811047285 | Highlands Ranch Healthcare LLC | Clinic/Center | 9330 S University Blvd, Suite 100, Highlands Ranch, CO 80126-5065 | 2007-01-10 |
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|---|---|---|---|---|
| 1548869969 | Afterours Inc | Clinic/Center | 4500 W 38th Ave Ste 220, Denver, CO 80212-2005 | 2020-10-19 |
| 1992304315 | Afterours Inc | Clinic/Center | 101 W Mineral Ave Ste 105, Littleton, CO 80120-4500 | 2020-10-19 |
| 1104436278 | Urgent Care Lakewood Inc | Clinic/Center | 2616 E 120th Ave, Thornton, CO 80233-1412 | 2020-08-04 |
| 1770192502 | Catholic Health Initiatives Colorado | Clinic/Center | 17230 Jackson Creek Pkwy Ste 120, Monument, CO 80132-7302 | 2020-07-28 |
| 1508483413 | Medventures, Pllc | Clinic/Center | 7280 Lagae Rd Ste I, Castle Pines, CO 80108-9454 | 2020-06-26 |
| 1467078014 | Colorado Mountain Medical, LLC | Clinic/Center | 108 S Frontage Rd W Ste 101, Vail, CO 81657-5087 | 2020-06-19 |
| 1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
| 1861024101 | Catholic Health Initiatives Colorado | Clinic/Center | 4943 Hwy 52, Frederick, CO 80514 | 2020-02-05 |
| 1881225514 | Catholic Health Initiatives Colorado | Clinic/Center | 16320 W 64th Ave, Arvada, CO 80007-7415 | 2020-01-31 |
| 1518507375 | Portercare Adventist Health System | Clinic/Center | 7000 E Hampden, Denver, CO 80224 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80126 |
Please comment or provide details below to improve the information on POUDRE VALLEY MEDICAL GROUP, LLC.
| 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.