POUDRE VALLEY MEDICAL GROUP, LLC


Address: 6767 29th St Fl 3, Greeley, CO 80634-5474
Phone: 9706522801

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1114556354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114556354
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
Practice Address 6767 29th St Fl 3
Greeley
CO 80634-5474
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 9706522801
Practice Fax Number 9706522827
Mailing Telephone 9706522801
Mailing Fax Number 9706522827
Enumeration Date 2020-04-08
Last Update Date 2020-04-08
Authorized Official Name JANA CONROY (CREDENTIALING MANAGER)
Authorized Official Telephone 9706244443
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist Speech, Language and Hearing Service Providers

Other Provider/Organization Names

Other Name Type Code
UCHealth Audiology Clinic - Greeley Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Poudre Valley Medical Group, LLC 2695 Rocky Mountain Ave., Suite 110, Loveland, CO 80538

Office Location

Street Address 6767 29TH ST FL 3
City GREELEY
State CO
Zip Code 80634-5474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649536723 Eks Wye Pollock Iv Internal Medicine 6767 29th St Fl 3, Greeley, CO 80634-5474 2012-04-03
1144833146 Poudre Valley Medical Group, LLC Neurological Surgery 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-08-28
1255944831 Poudre Valley Medical Group, LLC Pediatrics 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-08-25
1598378176 Poudre Valley Medical Group, LLC Physical Medicine & Rehabilitation 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-08-25
1841814613 Poudre Valley Medical Group, LLC Preventive Medicine 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-06-08
1649892662 Poudre Valley Medical Group, LLC Psychiatry & Neurology 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-05-13
1588286678 Poudre Valley Medical Group, LLC Internal Medicine 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-05-12
1265054555 Poudre Valley Medical Group, LLC Internal Medicine 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-05-11
1235758012 Poudre Valley Medical Group, LLC Family Medicine 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-04-13
1336768480 Poudre Valley Medical Group, LLC Otolaryngology 6767 29th St Fl 3, Greeley, CO 80634-5474 2020-04-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831707843 Witting Medical, LLC Pathology 17 Dos Rios, Greeley, CO 80634 2020-07-15
1730706102 Heart Centered Counseling Counselor 1770 W 25th Street #206, Greeley, CO 80634 2020-07-01
1396374237 Kidstuff Child and Family Counseling, P.C. Counselor 1770 25th Ave., Ste. 102, Greeley, CO 80634 2020-04-03
1164055745 Stephanie Alexis Balunda Speech-Language Pathologist Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 2020-02-21
1407413727 Stephen P Street Pllc Counselor 4657 W. 20th Street, Unit B, Greeley, CO 80634 2019-05-22
1043797749 Burt Stewart Dmd Pllc Clinic/Center 6937 West 10th Street, Greeley, CO 80634 2018-07-25
1164913885 Innovations Pediatric Therapy, LLC Occupational Therapist 3403 W 7th St Apt A, Greeley, CO 80634 2018-05-29
1003305319 Austin Michael Lake Physical Therapist 4681 W 20th St Unit 202b, Greeley, CO 80634 2018-05-02
1225542004 Kevin Lichner Specialist/Technologist 522 28th Ave, Greeley, CO 80634 2017-11-30
1538683909 Stacie Jackson Physician Assistant 6500 West 29th St Ste 106, Greeley, CO 80634 2017-07-27
Find all providers in zip 80634

Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124652482 Connect Hearing, Inc. Audiologist 1801 59th Ave Ste 201, Greeley, CO 80634-7981 2020-02-26
1134610306 Anthony Kovacs Audiologist 4675 W 20th Street Rd Unit A, Greeley, CO 80634-3260 2018-05-23
1871009852 Kathleen Ann Cox Audiologist 1023 39th Ave Ste C, Greeley, CO 80634-2502 2017-12-28
1730548314 The Hearing Center, Inc. Audiologist 1801 59th Ave, Suite 201, Greeley, CO 80634-7981 2016-02-11
1225266976 Dana L Snyder Audiologist 6105 W 6th Street Rd, Greeley, CO 80634-4426 2009-07-01
1093964934 Lisa Jane Guzman Audiologist 1915 81st Ave, Greeley, CO 80634-4634 2008-09-16
1528248697 Jacki Ralene Buffington-reider Audiologist 2018 35th Ave Ste A, Greeley, CO 80634-3967 2007-11-06
1518974013 Robert M. Traynor Audiologist 4675 W 20th Street Rd, Suite A, Greeley, CO 80634-3246 2006-08-01
1689641714 Alexandria Stephanie Silance Audiologist 3257 W 20th St, Ste 11-13, Greeley, CO 80634-6550 2006-03-08
1639164049 Diane Erdbruegger Audiologist Unc Speech and Audiology Clinic, Gunter Hall Room 0330, Greeley, CO 80639-0001 2005-09-13
Find all providers in GREELEY

Competitor

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City GREELEY
Zip Code 80634

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Dataset Information

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.

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