PLATTE VALLEY MEDICAL GROUP, LLC (NPI# 1881218519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881218519 |
| Entity Type | Organization |
| Organization Name | PLATTE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | PLATTE VALLEY MEDICAL GROUP - FT. LUPTON FAMILY MEDICINE |
| Practice Address |
1450 Dexter St Ste 101 Fort Lupton CO 80621-1503 |
| Practice Telephone | 3038572087 |
| Practice Fax Number | 3038572385 |
| Mailing Telephone | 3038572087 |
| Mailing Fax Number | 3038572385 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | JON MCDANIEL (VP FINANCE) |
| Authorized Official Telephone | 3032720231 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Platte Valley Medical Group - Ft. Lupton Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139648 | Platte Valley Medical Group, LLC | Emergency Medicine | 1450 Dexter St Ste 102, Fort Lupton, CO 80621-1503 | 2020-06-19 |
| 1972129500 | Platte Valley Medical Group, LLC | Obstetrics & Gynecology | 10569 Chambers Rd Unit 103, Commerce City, CO 80022-8951 | 2020-06-19 |
| 1952927527 | Platte Valley Medical Group, LLC | Internal Medicine | 1610 Prairie Center Pkwy Ste 2330, Brighton, CO 80601-4003 | 2020-06-19 |
| 1356965529 | Platte Valley Medical Group, LLC | Internal Medicine | 1606 Prairie Center Pkwy Ste 270, Brighton, CO 80601-4005 | 2020-06-03 |
| 1245854470 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2200, Brighton, CO 80601-4008 | 2020-06-03 |
| 1003430281 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1610 Prairie Center Pkwy Ste 2300, Brighton, CO 80601-4003 | 2020-06-03 |
| 1457975161 | Platte Valley Medical Group, LLC | Family Medicine | 10569 Chambers Rd Unit 102, Commerce City, CO 80022-8951 | 2020-05-29 |
| 1508480146 | Platte Valley Medical Group, LLC | Internal Medicine | 1610 Prairie Center Pkwy Ste 2170, Brighton, CO 80601-4001 | 2020-05-29 |
| 1295351823 | Platte Valley Medical Group, LLC | Internal Medicine | 10569 Chambers Rd Unit 102, Commerce City, CO 80022-8951 | 2020-06-19 |
| 1386260958 | Platte Valley Medical Group, LLC | Orthopaedic Surgery | 1000 Lincoln St, Fort Morgan, CO 80701-3290 | 2020-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Platte Valley Medical Group, LLC | 1600 Prairie Center Parkway, Brighton, CO 80601 |
| Street Address |
1450 DEXTER ST STE 101 |
| City | FORT LUPTON |
| State | CO |
| Zip Code | 80621-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659741247 | Workwellness Inc | Clinic/Center | 1450 Dexter Ave, Fort Lupton, CO 80621 | 2015-09-25 |
| 1386902294 | Kathryn M. Bowker | Counselor | 260 College Ave, Fort Lupton, CO 80621 | 2012-04-27 |
| 1225241946 | Theresa S Doi | Physical Therapist | 721 4th Street, Suite B, Fort Lupton, CO 80621 | 2007-05-08 |
| 1003946450 | Terry W Williams Dc PC | Chiropractor | 331 Park Avenue, Fort Lupton, CO 80621 | 2007-03-06 |
| 1548326200 | Glenda P Walden | Counselor | 120 1st Street, Ft. Lupton, CO 80621 | 2006-12-28 |
| 1447329099 | Caring Hands Pharmacy Inc | Pharmacy | 105 Dales Place, Fort Lupton, CO 80621 | 2006-11-07 |
| 1942382023 | Ft Lupton Medical Team PC | Family Medicine | 308 Denver Ave, Fort Lupton, CO 80621 | 2006-10-19 |
| 1841393253 | Irene Margaret Holloman | Dentist | 229 Denver Ave, Fort Lupton, CO 80621 | 2006-09-07 |
| 1346575586 | North Range Behavioral Health | Clinic/Center | 145 1st St, Fort Lupton, CO 80621 | 2009-10-06 |
| 1366620775 | Terry Wade Williams | Chiropractor | 331 Park Ave, Fort Lupton, CO 80621 | 2008-02-07 |
| Find all providers in zip 80621 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750595823 | Selwyn Martin Spray | Family Medicine | 308 Denver Ave Fort Lupton Medical Team, Fort Lupton, CO 80621-1822 | 2007-05-09 |
| 1942382023 | Ft Lupton Medical Team PC | Family Medicine | 308 Denver Ave, Fort Lupton, CO 80621 | 2006-10-19 |
| 1699784181 | Martin Daniel Mcdermott | Family Medicine | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2006-08-05 |
| 1255972584 | Elizabeth Gutierrez | Family Medicine | 1115 2nd St, Fort Lupton, CO 80621-1745 | 2019-10-08 |
| 1386056257 | Kalina Ehrenreich-piot | Family Medicine | 1115 2nd St, Fort Lupton, CO 80621-1745 | 2014-05-27 |
| 1902071202 | Michael William Noonan | Family Medicine | 203 S Rollie Ave, Fort Lupton, CO 80621-1508 | 2008-04-28 |
| 1336286624 | Katherine Rufner | Family Medicine | 1115 2nd St, Fort Lupton, CO 80621-1745 | 2007-01-30 |
| 1205928264 | Martin Mcdermott Md PC | Family Medicine | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2006-09-28 |
| 1134226640 | Mary C Weis-fout | Family Medicine | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2006-09-19 |
| 1063446334 | Deborah Green | Family Medicine | 315 Park Ave, Fort Lupton, CO 80621-1929 | 2006-07-10 |
| Find all providers in FORT LUPTON | ||||
| City | FORT LUPTON |
| Zip Code | 80621 |
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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.