POUDRE VALLEY MEDICAL GROUP, LLC


Address: 4110 Briargate Pkwy Ste 100b, Colorado Springs, CO 80920-7836
Phone: 7193640160

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1467067165) 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) 1467067165
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
Practice Address 4110 Briargate Pkwy Ste 100b
Colorado Springs
CO 80920-7836
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 7193640160
Practice Fax Number 7193640161
Mailing Telephone 7193640160
Mailing Fax Number 7193640161
Enumeration Date 2020-09-10
Last Update Date 2020-09-10
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 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Spine Center Memorial Hospital North 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 4110 BRIARGATE PKWY STE 100B
City COLORADO SPRINGS
State CO
Zip Code 80920-7836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568412120 Martin J Verhey Anesthesiology 4110 Briargate Pkwy Ste 100b, Colorado Springs, CO 80920-7836 2006-05-12
1497133987 Maria Vanushkina Pain Medicine 4110 Briargate Pkwy Ste 100b, Colorado Springs, CO 80920-7836 2015-05-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407463409 Cynthia Cruz Marriage & Family Therapist 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 2020-09-24
1851905178 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-09-03
1114531431 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1205440583 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1700490455 Poudre Valley Medical Group, LLC Radiology 4080 Briargate Parkway, Colorado Springs, CO 80920 2020-09-01
1962015792 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-08-31
1194296491 Kramer Dentistry Inc Clinic/Center 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 2018-12-12
1134602279 Juliana Plucinik Assistant Behavior Analyst 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 2018-09-14
1811473861 Vsb Colorado Providers Pllc Dentist 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 2018-07-12
1336637438 Children's Hospital Colorado General Acute Care Hospital 4090 Briargate Parkway, Colorado Springs, CO 80920 2018-04-25
Find all providers in zip 80920

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104976166 Steven E Murk, Md PC Neurological Surgery 175 S Union Blvd Ste 345, Colorado Springs, CO 80910-3146 2007-01-11
1760578660 Masferrer Neurosurgical, LLC Neurological Surgery 306 E Del Norte St, Colorado Springs, CO 80907-7512 2006-10-05
1871534644 Peter Michael Klara Neurological Surgery 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 2006-06-10
1639171549 Joseph J Illig Neurological Surgery 2312 N Nevada Ave, Suite 100, Colorado Springs, CO 80907-5302 2005-08-10
1063956381 Nicholas Maurio Neurological Surgery 8540 Scarborough Dr Ste 100, Colorado Springs, CO 80920-7518 2016-12-05
1407255565 Catholic Health Initiatives Colorado Neurological Surgery 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 2014-08-14
1538402797 Makai Monitoring Neurological Surgery 2312 N Nevada Ave, Ste 100, Colorado Springs, CO 80907-5302 2013-04-05
1497987432 Jordan Amadio Neurological Surgery 2222 N Nevada Ave Ste 5001, Colorado Springs, CO 80907-6865 2009-08-09
1801026992 Krista N Greenan Neurological Surgery 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 2009-07-23
1730340324 Ronald L Hammers Neurological Surgery 2312 N Nevada Ave, Suite 100, Colorado Springs, CO 80907-5302 2008-06-17
Find all providers in COLORADO SPRINGS

Competitor

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City COLORADO SPRINGS
Zip Code 80920

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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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