Derek Leopold (NPI# 1255645214, PAC ID# 3971726696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1255645214 |
| PAC ID by PECOS | 3971726696 |
| Professional Enrollment ID | I20150707002338 |
| Full Name | Derek Leopold |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
340 E 1st Ave Suite 101 Broomfield CO 80020-2401 |
| Phone Number | 3035443800 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060128 | LONGS PEAK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11820 Destination Dr, Broomfield, CO 80021-2518 | 7208480000 | POUDRE VALLEY MEDICAL GROUP LLC |
| 340 E 1st Ave, Suite 101, Broomfield, CO 80020-2401 | 3035443800 | POUDRE VALLEY MEDICAL GROUP LLC |
| 8890 N Union Blvd, Colorado Springs, CO 80920-2701 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 1750 E Ken Pratt Blvd, Uchealth, Longmont, CO 80504-5311 | 9702377848 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1750 E Ken Pratt Blvd Fl, 3 Uchealth Pulmonology Clinic Longm, Longmont, CO 80504-5311 | 7207183900 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Longmont, CO 80501-3128 | 3037761234 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Fl 3, Longmont, CO 80501-3128 | 7204943123 | POUDRE VALLEY MEDICAL GROUP LLC |
| 3850 N Grant Ave, 200 Uchmg Urgent Care Loveland, Loveland, CO 80538-8431 | 9706245170 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| 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 |
| Street Address |
340 E 1ST AVE SUITE 101 |
| City | BROOMFIELD |
| State | CO |
| Zip | 80020-2401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Jonathan Goodeill | Family Medicine | Poudre Valley Medical Group LLC | 340 E 1st Ave, Suite 101, Broomfield, CO 80020-2401 |
| Kristianna K Roberts | Family Medicine | Theraphysics Partners of Colorado Inc | 340 E 1st Ave, 307 Select Physical Therapy, Broomfield, CO 80020-2454 |
| Robert L Powell | General Surgery | Poudre Valley Medical Group LLC | 340 E 1st Ave, Suite 101, Broomfield, CO 80020-2401 |
| Gregory Ambuske | Internal Medicine | Poudre Valley Medical Group LLC | 340 E 1st Ave, Suite 101, Broomfield, CO 80020-2401 |
| Jeffrey S Meyers | Physician Assistant | Comprehensive Pain Specialists Inc | 340 E 1st Ave, Suite 102, Broomfield, CO 80020-2454 |
| Yvonne Nicole Delzenero | Psychiatry | Comprehensive Pain Specialists Inc | 340 E 1st Ave, Suite 102, Broomfield, CO 80020-2454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Long | Obstetrics/gynecology | The Women's Health Group PC | 6363 W 120th Ave, Suite 300, Broomfield, CO 80020-0300 |
| Colleen P Begley | Obstetrics/gynecology | The Women's Health Group PC | 6363 W 120th Ave, Suite 300, Broomfield, CO 80020-0300 |
| Meighen L Purk | Nurse Practitioner | Family Medicine Associates, PC | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 |
| Michael A Rosenberg | Cardiac Electrophysiology | University Physicians, Incorporated | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 |
| David C Leistikow | Family Medicine | Family Medicine Associates, PC | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 |
| Ryan T Borne | Cardiac Electrophysiology | University Physicians, Incorporated | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 |
| Angelo N Alago | Psychologist, Clinical | University Physicians, Incorporated | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 |
| William H Fabian | Cardiovascular Disease (cardiology) | University Physicians, Incorporated | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 |
| Matthew M Zipse | Cardiac Electrophysiology | University Physicians, Incorporated | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 |
| Amy C Hulstrom | Physician Assistant | University Physicians, Incorporated | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 |
| Find all physicians in zip 80020 | |||
| City | BROOMFIELD |
| Zip Code | 80020 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BROOMFIELD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Derek Leopold.
| 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.