POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1275841116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275841116 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | PVMG, FAMILY HEALTH CARE OF THE ROCKIES |
| Practice Address |
2121 E Harmony Rd Unit 230 Fort Collins CO 80528-3401 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-8702 |
| Practice Telephone | 9703502433 |
| Practice Fax Number | 9705939731 |
| Mailing Telephone | 9703502433 |
| Mailing Fax Number | 9705939731 |
| Enumeration Date | 2010-09-14 |
| 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 | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PVMG, Family Health Care of the Rockies | Other Name - Individual/Organization |
| UCHealth Rheumatology 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 |
|---|---|---|---|---|
| 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 |
| 1033416698 | Poudre Valley Medical Group, LLC | Internal Medicine | 2121 E Harmony Rd Unit 230, Fort Collins, CO 80528-3401 | 2011-02-17 |
| 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 | 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 |
|---|---|---|---|---|
| 1023109923 | Fred H Meyer | Internal Medicine | 219 S Sunset St, Fort Collins, CO 80521-2147 | 2006-09-27 |
| 1184652547 | Stephen D Holt | Internal Medicine | 2121 E Harmony Rd, Suite 360, Fort Collins, CO 80528-3400 | 2006-06-28 |
| 1629045364 | Michael Samir Thakor | Internal Medicine | 2121 E Harmony Rd, Ste 361, Fort Collins, CO 80528 | 2006-03-01 |
| 1073589016 | Daniel Muller | Internal Medicine | 2121 E Harmony Rd, Suite 230, Fort Collins, CO 80528-3400 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1457962318 | Mosaic Infusion Solutions LLC | Internal Medicine | 2270 Garden of The Gods Rd Ste 103, Colorado Springs, CO 80907-9440 | 2020-08-13 |
| 1285257717 | Heritage Colorado Physician Associates, P.C. | Internal Medicine | 4170 S Club Dr, Colorado Springs, CO 80906-4363 | 2020-05-19 |
| 1467016907 | Mosaic Infusion Solutions LLC | Internal Medicine | 7307 S Revere Pkwy Ste 201, Centennial, CO 80112-3931 | 2019-04-30 |
| 1215397765 | James Woodruff Emlen | Internal Medicine | 5469 S Jasmine St, Greenwood Village, CO 80111-1418 | 2016-02-25 |
| 1811370802 | Rouhin Sen | Internal Medicine | University of Colorado Anschutz Medical Campus, 1775 Aurora Court, Aurora, CO 80045 | 2015-07-08 |
| 1528440559 | Swosti Roka Magar | Internal Medicine | 5818 N Nevada, Suite 225, Colorado Springs, CO 80918 | 2015-06-25 |
| 1710389945 | Stuart S. Kassan, M.d., F.a.c.p., P.C. | Internal Medicine | 198 Union Blvd., #150, Lakewood, CO 80228-2259 | 2014-09-18 |
| 1023361565 | Infusion Center of South Florida, LLC | Internal Medicine | 1626 Cole Blvd, Suite 100, Lakewood, CO 80401-3306 | 2012-10-22 |
| 1104147453 | David P Theis | Internal Medicine | 595 Chapel Hills Dr Ste 201, Colorado Springs, CO 80920-1056 | 2010-06-21 |
| 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.