POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1720600018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720600018 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
3744 S Timberline Rd Ste 102 Fort Collins CO 80525-4334 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9704950506 |
| Practice Fax Number | 9704950485 |
| Mailing Telephone | 9704950506 |
| Mailing Fax Number | 9704950485 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| 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 | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Pain Management Clinic - Fort Collins | 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 |
3744 S TIMBERLINE RD STE 102 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154735827 | Jennifer Harrison | Nurse Practitioner | 3744 S Timberline Rd Ste 102, Fort Collins, CO 80525-4334 | 2014-06-20 |
| 1326598210 | Samantha Desenberg | Nurse Practitioner | 3744 S Timberline Rd Ste 102, Fort Collins, CO 80525-4334 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619206638 | Bruce R. Belleville, Md, LLC | Pain Medicine | 2831 Skimmerhorn St, Fort Collins, CO 80526-6275 | 2009-12-22 |
| 1285884775 | Fort Collins Pain Treatment Center Inc | Pain Medicine | 1113 Stoney Hill Rd Ste A, Fort Collins, CO 80525-1373 | 2008-09-22 |
| 1255312625 | Orrie G Clemens | Pain Medicine | 2001 S Shields St, Bldg L, Fort Collins, CO 80526-1827 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578941324 | Mountain Anesthesia Consultants LLC | Pain Medicine | 26 W Dry Creek Cir Ste 390, Littleton, CO 80120-8064 | 2015-05-13 |
| 1487952735 | Colorado Integrated Clinics LLC | Pain Medicine | 380 Empire Rd Ste 101, Lafayette, CO 80026-2677 | 2011-03-10 |
| 1255631776 | Innovative Pain Medicine Center of Colorado - A Professional Company | Pain Medicine | 4348 Woodlands Blvd, Suite 230, Castle Rock, CO 80104-2800 | 2010-11-01 |
| 1356416093 | Rocky Mountain Pain Solutions LLC | Pain Medicine | 255 Union Blvd Ste 350, Lakewood, CO 80228-1877 | 2006-11-21 |
| 1053411421 | John Alan Littleford | Pain Medicine | 10450 S Progress Way, A105, Parker, CO 80134-4036 | 2006-09-25 |
| 1609885326 | Scott A. Brandt, M.d., P.C. | Pain Medicine | 7447 E Berry Ave Ste 150, Greenwood Village, CO 80111-2142 | 2006-08-05 |
| 1902821531 | John H. Bissell | Pain Medicine | 3910 S Carefree Cir Ste F, Colorado Springs, CO 80917-3053 | 2006-07-13 |
| 1790741635 | Ortho Rehab Energywave Treatment | Pain Medicine | 8246 W Bowles Ave, Ste.t, Littleton, CO 80123-3097 | 2006-04-20 |
| 1316924558 | Rasheed Singleton | Pain Medicine | 799 E Hampden Ave Ste 315, Englewood, CO 80113-2762 | 2005-12-29 |
| 1710596218 | Portercare Adventist Health System | Pain Medicine | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.