Mark Douthit (NPI# 1326038555, PAC ID# 9537056643) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
| Nation Provider ID (NPI) | 1326038555 |
| PAC ID by PECOS | 9537056643 |
| Professional Enrollment ID | I20100607000306 |
| Full Name | Mark Douthit |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Address |
2750 Broadway St Boulder CO 80304-3573 |
| Phone Number | 3034403169 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | CARDIAC SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 9638208549 |
| Number of Group Practice Members | 1070 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060119 | MEDICAL CENTER OF THE ROCKIES |
| 060128 | LONGS PEAK HOSPITAL |
| 060010 | POUDRE VALLEY HOSPITAL |
| 060022 | UCH-MEMORIAL HEALTH SYSTEM |
| 060131 |
| Address | Phone | Organization |
|---|---|---|
| 2750 Broadway St, Boulder, CO 80304-3573 | 3034403169 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1400 E Boulder St, Colorado Springs, CO 80909-5533 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 8890 N Union Blvd, Colorado Springs, CO 80920-2701 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 1925 Mountain View Ave, Longmont, CO 80501-3128 | 3037761234 | POUDRE VALLEY MEDICAL GROUP LLC |
| 1925 Mountain View Ave, Fl 3, Longmont, CO 80501-3128 | 7204943123 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2030 Mountain View Ave, Suite 540, Longmont, CO 80501-3183 | 9702211000 | POUDRE VALLEY MEDICAL GROUP LLC |
| 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | POUDRE VALLEY MEDICAL GROUP LLC | |
| 3850 N Grant Ave, 200 Uchmg Urgent Care Loveland, Loveland, CO 80538-8431 | 9706245170 | POUDRE VALLEY MEDICAL GROUP LLC |
| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Physicians | 1041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
| Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
| Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
| Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
| Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
| Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
| Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
| Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
| Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
| Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
| Street Address |
2750 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip | 80304-3573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen A Treat | Cardiovascular Disease (cardiology) | Poudre Valley Medical Group LLC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Jennifer B Grodberg | Internal Medicine | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Robert H Levine | Gastroenterology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Elise Catherine Reinhard | Geriatric Medicine | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Melody Denham | Interventional Pain Management | 2750 Broadway St, Boulder, CO 80304-3573 | |
| Amar Dinker Trivedi | Cardiovascular Disease (cardiology) | Poudre Valley Medical Group LLC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Elizabeth D Helgans | Physician Assistant | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Kimberly Dana Lerner | Endocrinology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Justin Strote | Interventional Cardiology | Poudre Valley Medical Group LLC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Kelly Ann Mandagere | Endocrinology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey S Rumbyrt | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| William H Newman | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| Francine G Andrews | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| Karen Wegela | Psychologist, Clinical | 2590 Norwood Ave, Boulder, CO 80304-1363 | |
| Carol J Schneider | Psychologist, Clinical | 1229 Kalmia Ave, Boulder, CO 80304-1810 | |
| Allison E Morrison | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Steven D Resnick | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Todd C. Becker | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| John R Steinbaugh | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Carol Louise Spar | Psychologist, Clinical | 2163 Kalmia Cir, Boulder, CO 80304-1912 | |
| Find all physicians in zip 80304 | |||
| City | BOULDER |
| Zip Code | 80304 |
| Specialty | CARDIAC SURGERY |
| City + Specialty | BOULDER + CARDIAC SURGERY |
Please comment or provide details below to improve the information on Mark Douthit.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.