POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1871109819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871109819 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
2500 Rocky Mountain Ave Ste 2100 Loveland CO 80538-9004 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9702037153 |
| Mailing Telephone | 9702037153 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Women's Care Clinic - Loveland | 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 |
2500 ROCKY MOUNTAIN AVE STE 2100 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750524245 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 2500 Rocky Mountain Ave Ste 2100, North Medical Office Building, Loveland, CO 80538-9004 | 2009-04-13 |
| 1417586660 | Poudre Valley Medical Group, LLC | Internal Medicine | 2500 Rocky Mountain Ave Ste 2100, Loveland, CO 80538-9004 | 2020-04-08 |
| 1841557741 | Lindsey C Bannon | Obstetrics & Gynecology | 2500 Rocky Mountain Ave Ste 2100, Loveland, CO 80538-9004 | 2012-04-16 |
| 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 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437492733 | Sarah Proehl | Obstetrics & Gynecology | 2500 Rocky Mountain Ave Ste 2150, Loveland, CO 80538-9004 | 2013-04-04 |
| 1013974146 | Elizabeth A Howell | Obstetrics & Gynecology | 1813 Cheyenne Ave, Loveland, CO 80538-4244 | 2006-05-01 |
| 1811978281 | John T Crane | Obstetrics & Gynecology | 1900 Boise Ave Ste 410, Loveland, CO 80538-5004 | 2005-11-10 |
| 1588225015 | Fort Collins Women's Clinic, P.C. | Obstetrics & Gynecology | 2500 Rocky Mountain Ave Ste 2150, Loveland, CO 80538-9004 | 2019-06-25 |
| 1922366616 | Ellie A Coonrod | Obstetrics & Gynecology | 1900 Boise Ave, Loveland, CO 80538-5004 | 2012-05-01 |
| 1841557741 | Lindsey C Bannon | Obstetrics & Gynecology | 2500 Rocky Mountain Ave Ste 2100, Loveland, CO 80538-9004 | 2012-04-16 |
| 1275823510 | Big Thompson Medical Group Inc. | Obstetrics & Gynecology | 1813 Cheyenne Ave, Loveland, CO 80538-4244 | 2011-04-07 |
| 1528357209 | Jessica Brynn Bare | Obstetrics & Gynecology | 2500 Rocky Mountain Ave, North Mob, Suite 150, Loveland, CO 80538-9004 | 2011-04-01 |
| 1386955417 | Alison Anne Dormer Cowan | Obstetrics & Gynecology | 2500 Rocky Mountain Ave Ste 2200, Loveland, CO 80538-9004 | 2010-06-23 |
| 1538369483 | Jennifer Louise Reeve | Obstetrics & Gynecology | 2500 Rocky Mountain Ave, North Medical Office Bldg Suite 150, Loveland, CO 80538-9004 | 2007-07-19 |
| Find all providers in LOVELAND | ||||
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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.