POUDRE VALLEY MEDICAL GROUP, LLC


Address: 1625 Medical Center Pt Ste 220, Colorado Springs, CO 80907-5798
Phone: 7195781112

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1437762028) 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) 1437762028
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
Practice Address 1625 Medical Center Pt Ste 220
Colorado Springs
CO 80907-5798
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 7195781112
Practice Fax Number 7195780128
Mailing Telephone 7195781112
Mailing Fax Number 7195780128
Enumeration Date 2020-08-25
Last Update Date 2020-08-25
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 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Plastic and Reconstructive Surgery Clinic - Colorado Springs 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 1625 MEDICAL CENTER PT STE 220
City COLORADO SPRINGS
State CO
Zip Code 80907-5798

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619138310 Nancy Wong Plastic Surgery 1625 Medical Center Pt Ste 220, Colorado Springs, CO 80907 2008-06-24
1124514252 Paige Schwab Physician Assistant 1625 Medical Center Pt Ste 220, Colorado Springs, CO 80907-5798 2018-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871124057 Margaret Elizabeth Macnabb Occupational Therapist 955 West Fillmore Street, Colorado Springs, CO 80907 2020-01-28
1598300394 Eric L Peterson Counselor 4570 Hilton Pwky, Colorado Springs, CO 80907 2019-11-15
1669020160 Vcphcs Xii, LLC Clinic/Center 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 2019-08-28
1366907123 Natural Healthcare, LLC Chiropractor 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 2019-02-06
1063981777 Samuel Ray Porterfield Social Worker Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 2018-11-26
1982170114 A Physicians Home Care Home Health 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 2018-10-15
1689196180 Reena Annetta Manka Counselor 888 Garden of The Gods, 150, Colorado Springs, CO 80907 2017-07-17
1356870356 Solaris Hc Co Inc Hospice Care, Community Based 1045 Garden of Gods Rd, Colorado Springs, CO 80907 2017-06-05
1649704826 Colorado Springs Urological Associates Pllc Urology 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 2017-04-14
1194274704 Sarah Lynn Hartman Dietitian, Registered 3207 North Academy Blvd, Colorado, CO 80907 2016-09-23
Find all providers in zip 80907

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346421179 John R. Burroughs Md PC Surgery 300 Garden of The Gods, Ste. 100, Colorado Springs, CO 80907 2007-11-20
1306129069 Tad R. Heinz Md, PC Surgery 2960 N Circle Dr, Suite 115, Colorado Springs, CO 80909-1163 2011-09-20
1760703201 Aaron D. Smith Md PC Surgery 5901 Corporate Dr, Colorado Springs, CO 80919-1941 2010-06-18
1871733998 Mona Rane Md Chartered Surgery 1715 N Weber St, Suite 260, Colorado Springs, CO 80907-7532 2009-03-02
1780706986 David D Dubois Surgery 2727 N Tejon St, Colorado Springs, CO 80907-6231 2007-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255970265 Peak Plastic Surgery Center, PC Surgery 4500 E Cherry Creek South Dr Ste 425, Denver, CO 80246-1518 2019-12-23
1790004612 Medvacation LLC Surgery 2340 Curtis Street Unit #3, Denver, CO 80205 2010-05-18
1336330653 Dianne C. Leeb Surgery 31-n Wildflower Place, Edwards, CO 81632 2007-08-05
1013108299 Richard Thomas Ethridge Surgery 1100 Poudre River Dr Unit A, Fort Collins, CO 80524-3557 2007-08-05
1891906996 Thomas William Fawell Surgery 26781 E. Clifton Dr., Aurora, CO 80016 2007-05-24
1841322674 Joyce Aycock Surgery 36 Steele St Ste 200, Denver, CO 80206-5710 2007-03-09
1811022239 Steven Lee Snively Surgery 601 E Hampden Ave Ste 200, Englewood, CO 80113-2788 2007-02-23
1437231982 Christine Maria Rodgers Surgery 4600 Hale Pkwy Ste 330, Denver, CO 80220-4000 2006-10-20
1871675314 Michael Charles Bateman Surgery 4700 Hale Pkwy Ste 520, Denver, CO 80220-4053 2006-10-20
1902990237 Cecilia Marie Franco-webb Surgery 5351 S Roslyn St Ste 100, Greenwood Village, CO 80111 2006-10-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City COLORADO SPRINGS
Zip Code 80907

Improve Information

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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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