POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1033416698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033416698 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | UCHEALTH DIABETES AND ENDOCRINOLOGY CLINIC - HARMONY CAMPUS |
| Practice Address |
2121 E Harmony Rd Unit 230 Fort Collins CO 80528-3401 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9702950010 |
| Practice Fax Number | 9702249112 |
| Mailing Telephone | 9702950010 |
| Mailing Fax Number | 9702249112 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | JANA CONROY (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9706244443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PVMG, FAMILY MEDICINE | Other Name - Individual/Organization |
| UCHealth Diabetes and Endocrinology Clinic - Harmony Campus | Doing Business As Name - 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 |
2121 E HARMONY RD UNIT 230 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275841116 | Poudre Valley Medical Group, LLC | Internal Medicine | 2121 E Harmony Rd Unit 230, Fort Collins, CO 80528-3401 | 2010-09-14 |
| 1932595865 | Kyana Morton-mccarthy | Student in an Organized Health Care Education/Training Program | 2121 E Harmony Rd Unit 230, Fort Collins, CO 80528-3401 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518262708 | Poudre Valley Medical Group, LLC | Internal Medicine | 1106 E Prospect Rd, Ste 100, Fort Collins, CO 80525-5306 | 2011-01-19 |
| 1124268008 | Julie Marie Talavera | Internal Medicine | 1106 E Prospect Rd, Suite 100, Fort Collins, CO 80525-5304 | 2009-03-04 |
| 1427258920 | Endocrinology Consultants of Northern Colorado, P.C. | Internal Medicine | 1040 E Elizabeth St, Unit B, Fort Collins, CO 80524-3951 | 2007-07-23 |
| 1447457718 | Rocky Mountain Endocrine Consultants PC | Internal Medicine | 2121 E Harmony Rd, Ste 300, Fort Collins, CO 80528-3400 | 2007-06-29 |
| 1093723231 | Meriam Pacan Izon | Internal Medicine | 2121 E Harmony Rd, Suite 230, Fort Collins, CO 80528-3403 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460801 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 1960 N Ogden St Ste 120a, Denver, CO 80218-3666 | 2020-09-02 |
| 1073139267 | Colorado Mountain Medical, LLC | Internal Medicine | 323 West Main Street, Suite 101, Frisco, CO 80443 | 2020-06-23 |
| 1326667460 | Poudre Valley Medical Group, LLC | Internal Medicine | 1925 Mountain View Ave Fl 3, Longmont, CO 80501-3128 | 2020-04-09 |
| 1548807829 | Community Medical Group, LLC | Internal Medicine | 2532 Patterson Rd Ste 9-10, Grand Jct, CO 81505-3604 | 2019-12-05 |
| 1386109452 | Poudre Valley Medical Group, LLC | Internal Medicine | 6906 W 10th St, Greeley, CO 80634-9726 | 2019-02-04 |
| 1326285354 | Leonard Arthur Wisneski | Internal Medicine | 31541 Pike View Dr, Conifer, CO 80433-7536 | 2009-01-13 |
| 1558506808 | Rocky Mountain Endocrinology, P.C. | Internal Medicine | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138 | 2008-12-15 |
| 1275706285 | Jennifer Bacalla Bernard | Internal Medicine | 11700 W 2nd Pl Ste 210e, Lakewood, CO 80228-1704 | 2008-04-10 |
| 1063615433 | Sarah E Mayson | Internal Medicine | Campus Box F732, 1635 Aurora Court, Suite 6600, University of Colorado Hospital Endocrinology Clinic, Aurora, CO 80045 | 2007-06-06 |
| 1710033303 | Linda L Buckley | Internal Medicine | 799 E Hampden Ave Ste 525, Englewood, CO 80113-2786 | 2007-01-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.