POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1689294704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689294704 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
501 W 5th St Florence CO 81226-1126 |
| Practice Telephone | 7197844816 |
| Practice Fax Number | 7197846014 |
| Mailing Telephone | 7197844816 |
| Mailing Fax Number | 7197846014 |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-04-18 |
| 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 | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Heart Clinic - Florence | 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 |
501 W 5TH ST |
| City | FLORENCE |
| State | CO |
| Zip Code | 81226-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505964 | Robert S Bliss | Family Medicine | 501 W 5th St, Florence, CO 81226-1126 | 2005-08-10 |
| 1215442397 | Toloa Pearl | Nurse Practitioner | 501 W 5th St, Florence, CO 81226-1126 | 2017-12-11 |
| 1639455918 | Joseph T Mcgarry Md PC | Family Medicine | 501 W 5th St, Florence, CO 81226-1126 | 2011-10-31 |
| 1255359329 | Richard G. Straight | Physician Assistant | 501 W 5th St, Florence Medical Center, Florence, CO 81226 | 2006-07-17 |
| 1164419966 | Joseph T. Mcgarry | Family Medicine | 501 W 5th St, Florence, CO 81226-1126 | 2005-10-05 |
| 1053308858 | Florence Medical Center LLC | Family Medicine | 501 W 5th St, Florence, CO 81226-1126 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023649191 | Loreena Ruth Fraboni | Nurse Practitioner | 5880 Co-67, Florence, CO 81226 | 2020-01-28 |
| 1134367410 | David Kim Allred | Family Medicine | 5880 Hwy 67 South, Florence, CO 81226 | 2009-01-26 |
| 1003962788 | Daniel G. Severn | Psychiatry & Neurology | 5880 State Highway 67 South, Florence, Florence, CO 81226 | 2007-01-26 |
| 1760595482 | Tammy L Hodge | Pharmacist | 903 Moore Dr., Florence, CO 81226 | 2006-08-16 |
| 1447456710 | Michael John Goodin | Pharmacist | 5880 State Highway 67 South, Florence, CO 81226 | 2007-06-25 |
| 1245325836 | Fox Drug, Inc | Pharmacy | 1100 E Main St, Florence, CO 81226 | 2006-10-03 |
| 1316053838 | Colorado State Veterans Nursing Home | Skilled Nursing Facility | 903 Moore Dr, Florence4, CO 81226 | 2006-08-21 |
| 1235587130 | Brenda A Schloemann | Social Worker | 510 W 2nd St, Florence, CO 81226-1013 | 2016-06-01 |
| 1184954760 | County of Fremont Custer School District Re-2 | Local Education Agency (LEA) | 403 W 5th St, Florence, CO 81226-1103 | 2010-01-05 |
| 1568014660 | West Central Mental Health Center Inc. | Community/Behavioral Health | 600 W 3rd St, Florence, CO 81226-1143 | 2019-07-10 |
| Find all providers in zip 81226 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1285914549 | Cardiac Arrhythmia Institute LLC | Internal Medicine | 822 E. Saguaro Dr., Florence, AZ 85132 | 2011-08-18 |
| 1710049689 | William H Heaton | Internal Medicine | 201 E Dr Hicks Blvd, Florence, AL 35630-5767 | 2006-12-15 |
| 1760585574 | Yabiz Sedghi | Internal Medicine | 541 W. College Street, Suite 1100, Florence, AL 35630-5320 | 2006-09-07 |
| 1972517860 | Ossama Abdul Rahman | Internal Medicine | 805 Pamplico Hwy Ste B230, Florence, SC 29505 | 2006-07-28 |
| 1134148547 | David Paul Bottomy | Internal Medicine | 1706 2nd Loop Rd, Florence, SC 29501-6119 | 2006-07-18 |
| 1366436990 | Gregory A May | Internal Medicine | 1706 Second Loop Rd, Florence, SC 29501 | 2005-09-09 |
| 1912904913 | Ajit Kamalakarrao Naidu | Internal Medicine | 2095 Florence Blvd, Florence, AL 35630-2751 | 2005-07-05 |
| 1063872596 | Ecm Tvcc LLC | Internal Medicine | 541 W College St, Suite 1100, Florence, AL 35630-5323 | 2016-02-25 |
| 1033518683 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste B230, Florence, SC 29505-6066 | 2014-08-20 |
| 1720417793 | Zubair Khan | Internal Medicine | 541 W College St Ste 1100, Florence, AL 35630-5320 | 2013-11-11 |
| Find all providers in FLORENCE | ||||
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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.