POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1194339853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194339853 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
311 Steele St Denver CO 80206-4479 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 3033724010 |
| Practice Fax Number | 3033724011 |
| Mailing Telephone | 3033724010 |
| Mailing Fax Number | 3033724011 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | JANA CONROY (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9706244443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Rheumatology Clinic - Steele Street | Other Name - Individual/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 |
311 STEELE ST |
| City | DENVER |
| State | CO |
| Zip Code | 80206-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260951 | Alicia Dower | Physician Assistant | 311 Steele St, Denver, CO 80206-4479 | 2005-10-27 |
| 1114530466 | Poudre Valley Medical Group, LLC | Family Medicine | 311 Steele St, Denver, CO 80206-4479 | 2020-08-26 |
| 1225506447 | Poudre Valley Medical Group, LLC | Clinic/Center | 311 Steele St, Denver, CO 80206-4479 | 2018-11-06 |
| 1336538776 | Mary Nguyen | Physician Assistant | 311 Steele St, Denver, CO 80206-4479 | 2015-01-22 |
| 1891041810 | Valorie Anne Baxter | Physician Assistant | 311 Steele St, Denver, CO 80206-4479 | 2012-07-27 |
| 1225392459 | Trevor W. Shull | Family Medicine | 311 Steele St, Denver, CO 80206 | 2012-07-03 |
| 1780910877 | Andrea Yvonne Pleune | Physician Assistant | 311 Steele St, Denver, CO 80206-4479 | 2009-10-23 |
| 1942435680 | Sara Michelle Corr | Internal Medicine | 311 Steele St, Denver, CO 80206-4479 | 2009-05-26 |
| 1285823872 | Mark Alan Adams | Physical Therapy Assistant | 311 Steele St, Ste 200, Denver, CO 80206-4479 | 2007-10-18 |
| 1194935023 | Elizabeth Eun Hae Rice De | Internal Medicine | 311 Steele St, Denver, CO 80206-4479 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1881818581 | Judy Mae Heller | Internal Medicine | 155 S Madison St Ste 210, Denver, CO 80209-3013 | 2007-04-12 |
| 1700932316 | Stephen Joseph Murphy | Internal Medicine | 200 Spruce Street, Suite 100, Denver, CO 80238-7127 | 2007-01-26 |
| 1871649400 | Leslie Rose | Internal Medicine | 1055 Clermont St (111g), Denver, CO 80020 | 2007-01-26 |
| 1093706475 | Stuart S Kassan | Internal Medicine | 4200 W Conejos Pl, #314, Denver, CO 80204-1333 | 2005-11-03 |
| 1720697295 | Poudre Valley Medical Group, LLC | Internal Medicine | 100 Cook Street, Suite 408, Denver, CO 80206 | 2020-07-30 |
| 1164897682 | Denver Arthritis Clinic | Internal Medicine | 200 Spruce St, 100, Denver, CO 80230-7126 | 2015-12-09 |
| 1871859801 | Gregory Barron | Internal Medicine | 200 Spruce St, Ste 100, Denver, CO 80230-7127 | 2012-04-04 |
| 1588950018 | Isabelle Amigues | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2011-06-23 |
| 1144464454 | Lia R Matarrese Mcgibbon | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2009-04-30 |
| 1285885095 | Barbara L Goldstein | Internal Medicine | 200 Spruce St Ste 100, Denver, CO 80230-7127 | 2008-10-10 |
| Find all providers in DENVER | ||||
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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.