POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1346856473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346856473 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
5818 N Nevada Suite 200 Colorado Springs CO 80918 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9706244443 |
| Mailing Telephone | 9706244443 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| 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 | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Allergy Clinic - Grandview | 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 |
5818 N NEVADA SUITE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528440559 | Swosti Roka Magar | Internal Medicine | 5818 N Nevada, Suite 225, Colorado Springs, CO 80918 | 2015-06-25 |
| 1740897271 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-29 |
| 1821605353 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 5818 N Nevada, Suite 110, Colorado Springs, CO 80918 | 2020-09-29 |
| 1912514050 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada, Suite 225, Colorado Springs, CO 80918 | 2020-09-23 |
| 1649887787 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada, Suite 225, Colorado Springs, CO 80918 | 2020-09-23 |
| 1528675667 | Poudre Valley Medical Group, LLC | Psychiatry & Neurology | 5818 N Nevada, Suite 225, Colorado Springs, CO 80918 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 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 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665239 | Asthma & Allergy Associates, PC | Allergy & Immunology | 7608 N Union Blvd Ste 115, Colorado Springs, CO 80920-3886 | 2020-10-06 |
| 1154971661 | Old Colorado City Wellness Pllc | Allergy & Immunology | 2020 W Colorado Ave # 303, Colorado Springs, CO 80904-3882 | 2019-09-17 |
| 1184731721 | Colorado Springs Allergy & Asthma Clinic, PC | Allergy & Immunology | 3425 Austin Bluffs Pkwy, Suite 205, Colorado Springs, CO 80918-5701 | 2006-08-23 |
| 1023125655 | Eric L Caplan | Allergy & Immunology | 3030 N Circle Dr Ste 300, Colorado Springs, CO 80909-1180 | 2006-08-23 |
| 1326154949 | Bonnie B Baswell | Allergy & Immunology | 1235 Lake Plaza Dr Ste 218, Colorado Springs, CO 80906-3556 | 2006-08-23 |
| 1316970577 | Kristine Elle Hembre | Allergy & Immunology | 2925 Professional Pl, Suite # 103, Colorado Springs, CO 80904-8126 | 2006-07-09 |
| 1639137177 | Kendall A Gerdes | Allergy & Immunology | 3525 American Drive, Colorado Springs, CO 80917 | 2006-05-03 |
| 1386632172 | Christopher Michael Webber | Allergy & Immunology | 8585 Criterion Dr, Unit 64170, Colorado Springs, CO 80920 | 2005-10-06 |
| 1174152417 | Poudre Valley Medical Group, LLC | Allergy & Immunology | 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | 2020-04-08 |
| 1184818478 | Deborah Ann Sweet | Allergy & Immunology | 2925 Professional Pl, Suite 103, Colorado Springs, CO 80904-8126 | 2007-08-30 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
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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.