Stephanie Pivik Mager
POUDRE VALLEY MEDICAL GROUP LLC


Address: 1715 61st Ave, Greeley, CO 80634-7989
Phone: 9703361500

Stephanie Pivik Mager (NPI# 1093198608, PAC ID# 0042518219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1093198608
PAC ID by PECOS 0042518219
Professional Enrollment ID I20190910001700
Full Name Stephanie Pivik Mager
Organization Legal Name POUDRE VALLEY MEDICAL GROUP LLC
Address 1715 61st Ave
Greeley
CO 80634-7989
Phone Number 9703361500
Gender F
Graduation Year 2015
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 9638208549
Number of Group Practice Members 1070
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060119 MEDICAL CENTER OF THE ROCKIES
060131

Other Locations

Address Phone Organization
1715 61st Ave, Greeley, CO 80634-7989 9703361500 POUDRE VALLEY MEDICAL GROUP LLC

Organization Information

Organization Legal Name POUDRE VALLEY MEDICAL GROUP LLC
Physicians 1041

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Daniel Henry Monkowski Infectious Disease Poudre Valley Medical Group LLC 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089
Nataliia A Baker Family Medicine Poudre Valley Medical Group LLC 1455 Main St, Suite 100, Windsor, CO 80550-5559
Kerri Alicia Madden Physician Assistant Poudre Valley Medical Group LLC 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Alicia Vandersluis Obstetrics/gynecology Poudre Valley Medical Group LLC 6705 Rangewood Dr, Colorado Springs, CO 80918-7300
Megan Leigh Kelly Clinical Social Worker Poudre Valley Medical Group LLC 11820 Destination Dr, Broomfield, CO 80021-2518
Mark Oscar Robinson Family Medicine Poudre Valley Medical Group LLC 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663
Kimberly Atiyeh Otolaryngology Poudre Valley Medical Group LLC 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763
Adam Lee Kilkenney Family Medicine Poudre Valley Medical Group LLC 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061
Marlesa Renee Moore Obstetrics/gynecology Poudre Valley Medical Group LLC 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700
John T Seddon Orthopedic Surgery Poudre Valley Medical Group LLC 175 S Union Blvd, 300 Uchmg Orthopedic Surgery, Colorado Springs, CO 80910-3126

Office Location

Street Address 1715 61ST AVE
City GREELEY
State CO
Zip 80634-7989

Physicians in the same location

Name Specialty Organization Address
Danika Renee Forgach Obstetrics/gynecology Poudre Valley Medical Group LLC 1715 61st Ave, Greeley, CO 80634-7989
Amy S Schweers Nurse Practitioner Poudre Valley Medical Group LLC 1715 61st Ave, Greeley, CO 80634-7989
Natalie H Rochester Obstetrics/gynecology Poudre Valley Medical Group LLC 1715 61st Ave, Greeley, CO 80634-7989
Courtney Lara Roberts Obstetrics/gynecology Poudre Valley Medical Group LLC 1715 61st Ave, Greeley, CO 80634-7989
Karen L Vorderberg Certified Nurse Midwife Poudre Valley Medical Group LLC 1715 61st Ave, Greeley, CO 80634-7989

Physicians in the same zip code

Name Specialty Organization Address
Lynne M Donahue Physical Therapy Alliance Physical Therapy, P.C. 2809 E Harmony Rd, Suite 145, Fort Colllins, CO 80634
David Richard Solecki Chiropractic 3624 W 10th St, Greeley, CO 80634-1821
Laurence P Kerrigan Clinical Psychologist 1015 37th Ave Ct, Unit 102, Greeley, CO 80634-2500
Evelyn B Hu Nurse Practitioner Colorado Urgent Care Pllc 1011 39th Ave A, Greeley, CO 80634-2504
Marcia S Stauter Optometry 3545 W 12th St, Suite 101, Greeley, CO 80634-2545
Stephanie Maria Streufert Family Medicine Banner Health Physicians Colorado LLC 5623 W 19th St, Greeley, CO 80634-2901
Anna R Wilkins Family Medicine Poudre Valley Medical Group LLC 5881 W 16th St, Uchmg Peakview Medical Center, Greeley, CO 80634-2910
Amy B Driscoll Pediatric Medicine Poudre Valley Medical Group LLC 5881 W 16th St D, Uchmg Urology Peakview, Greeley, CO 80634-2910
Jennifer Lynn Wenning Nurse Practitioner Poudre Valley Medical Group LLC 5881 W 16th St, Uchmg Peakview Medical Center, Greeley, CO 80634-2910
Melissa Richardson Physical Therapy Poudre Valley Medical Group LLC 5881 W 16th St D, Uchmg Urology Peakview, Greeley, CO 80634-2910
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Competitor

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City GREELEY
Zip Code 80634
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty GREELEY + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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