POUDRE VALLEY MEDICAL GROUP, LLC (NPI# 1821629155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821629155 |
| Entity Type | Organization |
| Organization Name | POUDRE VALLEY MEDICAL GROUP, LLC |
| Practice Address |
151 W Lake St Ste 1500 Fort Collins CO 80524-4124 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 9702378250 |
| Practice Fax Number | 9702378294 |
| Mailing Telephone | 9702378250 |
| Mailing Fax Number | 9702378294 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | JANA CONROY (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9706244443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCHealth Occupational Medicine Clinic - Lake Street | 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 |
151 W LAKE ST STE 1500 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497721666 | Julie K Thornton | Physician Assistant | 151 W Lake St Ste 1500, Fort Collins, CO 80524 | 2006-02-27 |
| 1023530276 | Emma Richardson | Physician Assistant | 151 W Lake St Ste 1500, Fort Collins, CO 80524 | 2017-07-10 |
| 1053843557 | Brianna Anthony | Family Medicine | 151 W Lake St Ste 1500, Fort Collins, CO 80524-4124 | 2017-04-03 |
| 1033513155 | Charlton Morgan Swinehart | Physician Assistant | 151 W Lake St Ste 1500, Fort Collins, CO 80524 | 2014-10-17 |
| 1174660534 | Terra Babcock | Physician Assistant | 151 W Lake St Ste 1500, Fort Collins, CO 80524 | 2007-02-01 |
| 1881782696 | Susan M Beck | Family Medicine | 151 W Lake St Ste 1500, Fort Collins, CO 80524-4124 | 2006-10-10 |
| 1568579357 | Melanie A Vanhook | Nurse Practitioner | 151 W Lake St Ste 1500, Fort Collins, CO 80524 | 2006-08-25 |
| 1184676868 | Landon Rasmussen | Physician Assistant | 151 W Lake St Ste 1500, Fort Collins, CO 80524-4124 | 2006-05-17 |
| 1508815770 | David S Schmidt | Family Medicine | 151 W Lake St Ste 1500, Fort Collins, CO 80524 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847476 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2315 E Harmony Rd Ste 170, Fort Collins, CO 80528-8620 | 2020-07-02 |
| 1215242417 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2315 E Harmony Rd Ste 170, Fort Collins, CO 80528-8620 | 2010-08-11 |
| 1891979043 | Michael Glen Holthouser | Preventive Medicine | 4674 Snow Mesa Dr, Fort Collins, CO 80528-8615 | 2007-12-24 |
| 1114064474 | Tracey Stefanon | Preventive Medicine | 4674 Snow Mesa Dr, Suite 200, Fort Collins, CO 80528-8615 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894963 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 8515 W Coal Mine Ave Ste 240, Littleton, CO 80123-4429 | 2020-09-04 |
| 1568070944 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 8350 Colorado Blvd Unit 160, Firestone, CO 80504-6803 | 2020-07-21 |
| 1275171977 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2773 Janitell Rd, Colorado Springs, CO 80906-4102 | 2019-12-13 |
| 1548776784 | Telecare Global LLC | Preventive Medicine | 11 Salvation Circle, Aspen, CO 81611 | 2017-12-26 |
| 1306363650 | Bonnie Belinda Mccafferty | Preventive Medicine | Denver Federal Center, Federal Occupational Health, Building 25, Entrance E-14, Lakewood, CO 80225-0145 | 2017-08-28 |
| 1447784087 | Colorado Occupational Partners, Inc. | Preventive Medicine | 1390 S Potomac St Ste 136, Aurora, CO 80012-4529 | 2017-04-19 |
| 1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
| 1144598855 | Daniel Thau Teitelbaum | Preventive Medicine | 355 Ogden St, Denver, CO 80218-3867 | 2011-12-08 |
| 1952604985 | Michael Verne Ladwig | Preventive Medicine | 6900 E 47th Avenue Dr Ste 100, Denver, CO 80216-3449 | 2010-12-14 |
| 1831374776 | Lisa Beth Ferstenberg | Preventive Medicine | 302 W Orman Ave, Pueblo, CO 81004-1855 | 2008-01-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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| 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.