POUDRE VALLEY MEDICAL GROUP, LLC


Address: 100 Cook Street, Suite 402, Denver, CO 80206
Phone: 7205169419

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1538778006) 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) 1538778006
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
Practice Address 100 Cook Street
Suite 402
Denver
CO 80206
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 7205169419
Practice Fax Number 7205169447
Mailing Telephone 7205169419
Mailing Fax Number 7205169447
Enumeration Date 2020-07-30
Last Update Date 2020-07-30
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 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Spine Center - Cherry Creek 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 100 COOK STREET
SUITE 402
City DENVER
State CO
Zip Code 80206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194776898 Mara Mindy Isser Sax Physical Medicine & Rehabilitation 100 Cook Street, Suite 402, Denver, CO 80206 2006-05-15
1487251948 University of Colorado Hospital Authority Clinical Medical Laboratory 100 Cook Street, Room 2 062, Denver, CO 80206-5322 2020-10-07
1720697295 Poudre Valley Medical Group, LLC Internal Medicine 100 Cook Street, Suite 408, Denver, CO 80206 2020-07-30
1922617497 Poudre Valley Medical Group, LLC Internal Medicine 100 Cook Street, Suite 412, Denver, CO 80206 2020-07-30
1679182141 Poudre Valley Medical Group, LLC Internal Medicine 100 Cook Street, Suite 202, Denver, CO 80206 2020-07-30
1396354866 Poudre Valley Medical Group, LLC Internal Medicine 100 Cook Street, Suite 408, Denver, CO 80206 2020-07-30
1205445772 Poudre Valley Medical Group, LLC Dermatology 100 Cook Street, Suite 306, Denver, CO 80206 2020-07-30
1194334664 Poudre Valley Medical Group, LLC Orthopaedic Surgery 100 Cook Street, Suite 406, Denver, CO 80206 2020-07-30
1912516485 Poudre Valley Medical Group, LLC Psychiatry & Neurology 100 Cook Street, Suite 402, Denver, CO 80206 2020-07-30
1821607391 Poudre Valley Medical Group, LLC Surgery 100 Cook Street, Suite 306, Denver, CO 80206 2020-07-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609495373 Mindy Lieberman Behavior Technician 1151 Monroe St. #2, Denver, CO 80206 2020-04-13
1356992879 Danielle Higgins Counselor 3003 E 3rd Ave # B-106, Denver, CO 80206 2019-09-25
1396224788 Neuro Interpretive Services LLC Clinic/Center 700 Colorado Blvd Ste 668, Denver, CO 80206 2018-08-07
1578072252 Ashleigh Rankin Social Worker 1890 Gaylord Street, Denver, CO 80206 2017-09-25
1407379092 Todd C. Ognibene Psychologist 1544 York Street, Third Floor, Denver, CO 80206 2017-07-25
1104363811 Zhanna Bayerman In Home Supportive Care 3222 E. 1st Ave, # 725, Denver, CO 80206 2017-01-20
1467995340 Julie Huff Massage Therapist 155 Cook, 351, Denver, CO 80206 2016-11-28
1457807778 Amrita Singh Comer Nursing Care 2111 Champa Street, Denver, CO 80206 2016-08-28
1245683952 Emily Rose Popiel Psychologist 3107 East Colfax Avenue, Denver, CO 80206 2016-07-18
1689036998 Emma Jean Maki-gianani Counselor 2925 E. Colfax, Denver, CO 80206 2016-03-25
Find all providers in zip 80206

Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114554599 Maria Bartlett Borg Physical Medicine & Rehabilitation 2000 S Co Blvd Ste 1000, Denver, CO 80222-7939 2020-03-25
1720582364 Malia Gisele Cali Physical Medicine & Rehabilitation 1668 Monroe St, Denver, CO 80206-1827 2018-03-20
1013447598 Emily Aronow-frieden Physical Medicine & Rehabilitation 360 S Garfield St Ste 401, Denver, CO 80209-3136 2017-06-15
1063866325 Denver Spine & Posture Center Inc. Physical Medicine & Rehabilitation 950 E Harvard Ave Ste 110, Denver, CO 80210-7007 2016-04-22
1518236090 Robert Alexander Physical Medicine & Rehabilitation 1660 Race St, Denver, CO 80206-1112 2011-12-29
1811224793 Rocky Mountain Spine & Sports Medicine Associates, LLC Physical Medicine & Rehabilitation 650 S Cherry St Ste 1015, Denver, CO 80246-1812 2009-11-12
1639369895 Thomas Hyme Ravin Physical Medicine & Rehabilitation 45 S Dahlia St, Denver, CO 80246-1044 2007-07-25
1295806792 All In One Medical Inc Physical Medicine & Rehabilitation 6795 E Tennessee Ave Ste 160, Denver, CO 80224-1608 2006-11-13
1295825081 Entercare Physical Medicine & Rehabilitation 6795 E Tennessee Ave Ste 250, Denver, CO 80224-1609 2006-10-13
1114028495 Yani C Zinis Physical Medicine & Rehabilitation 4700 Hale Pkwy Ste 500, Denver, CO 80220 2006-09-26
Find all providers in DENVER

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City DENVER
Zip Code 80206

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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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