POUDRE VALLEY MEDICAL GROUP, LLC


Address: 2500 Rocky Mountain Ave, Loveland, CO 80538-9004
Phone: 9706241900

POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1790393494) 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) 1790393494
Entity Type Organization
Organization Name POUDRE VALLEY MEDICAL GROUP, LLC
Practice Address 2500 Rocky Mountain Ave
Loveland
CO 80538-9004
Mailing Address 2695 Rocky Mountain Ave Ste 150
Loveland
CO 80538-9071
Practice Telephone 9706241900
Practice Fax Number 9706242192
Mailing Telephone 9706241900
Mailing Fax Number 9706242192
Enumeration Date 2020-07-20
Last Update Date 2020-07-20
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 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
UCHealth Palliative Care - Medical Center of the Rockies 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 2500 ROCKY MOUNTAIN AVE
City LOVELAND
State CO
Zip Code 80538-9004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356347751 Lynn M Kincanon Registered Nurse 2500 Rocky Mountain Ave, Unit 100, Loveland, CO 80538-9004 2005-06-22
1467051219 Poudre Valley Medical Group, LLC Social Worker 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2020-10-22
1700490844 Leah Salmans Nurse Practitioner 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2020-09-05
1376168575 Reach Air Medical Services LLC Ambulance 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2020-06-12
1104455070 Heather Gagne Registered Nurse 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2020-04-03
1801424965 Joseph Burgess Physical Therapist 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2020-04-01
1407484389 Elba Morales Registered Nurse 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2020-03-27
1881232833 Eva Joanne Abram Advanced Practice Midwife 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2019-12-19
1366900193 Melanie Griffith Roberts Registered Nurse 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2019-03-11
1538627351 Jennifer Petrilli Registered Nurse 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 2019-03-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295332385 Jocelyn Stott Social Worker 1611 N Estrella Avenue, Loveland, CO 80538 2020-10-02
1184234049 Kidstuff Child and Family Counseling, P.C. Psychologist 383 W. 37th St., Ste. 104, Loveland, CO 80538 2020-08-05
1578102752 Shela Wagner Student in an Organized Health Care Education/Training Program 2603 North Monroe Ave, Loveland, CO 80538 2020-01-05
1184261901 Sierra Compton Behavior Technician 2906 Ginnala Drive, Loveland, CO 80538 2019-12-01
1497306138 Warrior Diagnostics, Inc. Clinical Medical Laboratory 6215 Aviation Cir., Loveland, CO 80538 2019-09-24
1093372625 Kimberly Ann Boogaerts Behavior Technician 1437 North Denver Ave Ste 237, Loveland, CO 80538 2019-05-20
1033676101 Hero Vision of Loveland, LLC Optometrist 3515 Mountain Lion Drive, Loveland, CO 80538 2019-02-26
1225509201 Mbbk Consulting Inc. Day Training, Developmentally Disabled Services 4115 Georgetown Drive, Loveland, CO 80538 2018-12-17
1457833808 Judy A Elliott Speech-Language Pathologist 3232 Williamsburg St, Loveland, CO 80538 2018-09-02
1245756584 Beth Joyce Hale Counselor 1440 W.29th, #100, Loveland, CA 80538 2017-08-18
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Taxonomy Information

Taxonomy Code 207RH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457731929 Catholic Health Initiatives Colorado Internal Medicine 9100 E Mineral Cir, 2nd Floor, Centennial, CO 80112-3401 2015-05-31
1962771196 John T Lynn Internal Medicine 5450 Tech Center Dr, 120, Colorado Springs, CO 80919-2339 2011-12-16
1598738114 John G Massone Internal Medicine 2594 Trailridge Dr E, Lafayette, CO 80026-3186 2006-02-13
1477556934 Tru Community Care Internal Medicine 2594 Trailridge Drive East, Lafayette, CO 80026-3187 2005-05-27
1164030862 Poudre Valley Medical Group, LLC Internal Medicine 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 2020-07-20
1528676228 Poudre Valley Medical Group, LLC Internal Medicine 6767 29th St, Greeley, CO 80634-5474 2020-07-20
1982212684 Poudre Valley Medical Group, LLC Internal Medicine 1500 Park Central Dr Ste 101, Highlands Ranch, CO 80129-6692 2020-07-20
1609484302 Poudre Valley Medical Group, LLC Internal Medicine 1024 S Lemay Ave, Fort Collins, CO 80524-3929 2020-07-20
1033749353 Taylor Martindell Internal Medicine 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-01-26
1962917013 Valley View Hospital Association Internal Medicine 1906 Blake Ave, Glenwood Springs, CO 81601-4227 2017-12-12
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Competitor

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City LOVELAND
Zip Code 80538

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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