POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1538633698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538633698 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Other Organization Name | UCHEALTH URGENT CARE - GARDEN OF THE GODS |
| Practice Address |
1035 Garden of The Gods Rd Ste 120 Colorado Springs CO 80907-3416 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7193291000 |
| Practice Fax Number | 7195980807 |
| Mailing Telephone | 9706244443 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | JANA CONROY (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9706244443 |
| Authorized Official Credential | RHIA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 68135076 | 05 |
| Other Name | Type Code |
|---|---|
| UCHealth Medical Group | Doing Business As Name - Organization |
| UCHealth Urgent Care - Garden of the Gods | 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 |
1035 GARDEN OF THE GODS RD STE 120 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134106222 | David Ryan Japp | Physician Assistant | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-3416 | 2005-12-29 |
| 1932723707 | Poudre Valley Medical Group, LLC | Preventive Medicine | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-3416 | 2020-06-08 |
| 1508295809 | Meghann Kelsey Sheffield | Physician Assistant | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-9427 | 2013-11-06 |
| 1851676340 | Christa Paige Lynn | Family Medicine | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-9427 | 2011-10-15 |
| 1396036513 | Laurie Freeman | Physician Assistant | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-3416 | 2011-04-21 |
| 1578755641 | Terry Lee Westbrook | Physician Assistant | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-3416 | 2007-08-13 |
| 1508883166 | Christopher Michael Sacheli | Physician Assistant | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-3416 | 2006-07-17 |
| 1427087329 | Monica R Lederman | Physician Assistant | 1035 Garden of The Gods Rd Ste 120, Colorado Springs, CO 80907-3416 | 2006-07-02 |
| 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 Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419197 | Catholic Health Initiatives Colorado | Clinic/Center | 5607 Barnes Rd Ste 140, Colorado Springs, CO 80917-1347 | 2020-05-21 |
| 1073172201 | Uch-mhs | Clinic/Center | 2767 Janitell Rd., Colorado Springs, CO 80906-4102 | 2019-06-11 |
| 1235585845 | Emergency Medicine Doctors of Colorado Springs, P.C. | Clinic/Center | 4194 Royal Pine Dr, Suite 100, Colorado Springs, CO 80920-1507 | 2016-05-12 |
| 1962691873 | American Current Care Pa PC | Clinic/Center | 5320 Mark Dabing Blvd, Bldg 7 Suite 100, Colorado Springs, CO 80918 | 2007-10-16 |
| 1790974608 | American Current Care Pa PC | Clinic/Center | 2322 South Academy Blvd., Colorado Springs, CO 80916-2406 | 2007-10-16 |
| 1942815246 | Poudre Valley Medical Group, LLC | Clinic/Center | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2020-09-14 |
| 1720698830 | Catholic Health Initiatives Colorado | Clinic/Center | 1263 Lake Plaza Dr Ste 120, Colorado Springs, CO 80906-3510 | 2020-08-04 |
| 1851935753 | Comfort Care Family Practice, PC | Clinic/Center | 6530 S Academy Blvd Ste 105, Colorado Springs, CO 80906-8635 | 2019-11-04 |
| 1043854946 | Comfort Care Family Practice, PC | Clinic/Center | 402 Garden of The Gods Rd, Colorado Springs, CO 80907-4218 | 2019-11-04 |
| 1447724505 | Poudre Valley Medical Group, LLC | Clinic/Center | 4323 Integrity Center Pt, Colorado Springs, CO 80917-1683 | 2019-01-11 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
Please comment or provide details below to improve the information on POUDRE VALLEY MEDICAL GROUP, LLC.
| 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.