POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1295354801
Surgery in Trinidad, CO

NPI Status: Active since April 14, 2020

Contact Information

410 BENEDICTA AVE
TRINIDAD, CO
ZIP 81082
Phone: (970) 624-4443

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  • Organization
  • Surgery

About POUDRE VALLEY MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Poudre Valley Medical Group, Llc, a provider established in Trinidad, Colorado operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1295354801 assigned on April 2020. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Poudre Valley Medical Group, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jana Conroy (Credentialing Manager)

NPI
1295354801
Provider Name
POUDRE VALLEY MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
410 BENEDICTA AVE TRINIDAD, CO 81082
Location Phone
(970) 624-4443
Mailing Address
2695 ROCKY MOUNTAIN AVE STE 150 LOVELAND, CO 80538
Mailing Phone
(970) 624-4443
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2020
Last Update Date
04-14-2020
Code Navigator

A surgeon like Poudre Valley Medical Group, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANA CONROY

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(970) 624-4443

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295354801
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218565880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 6 + 5 + 8 + 8 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1295354801 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972589372LAS ANIMAS EMERGENCY GROUP LLC
Organization
Emergency Medicine410 BENEDICTA AVE
TRINIDAD, CO 81082
(800) 893-9698
1720114408 WILLIAM BRIAN GREISER MD
Individual
Emergency Medicine410 BENEDICTA AVE
TRINIDAD, CO 81082
(800) 893-9698
1316148158 JESSE VERIS MULLINS PTA
Individual
Physical Therapy Assistant410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-8072
1124352620MS. FATIMA PINA R.D.,L.D.
Individual
Dietitian, Registered410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-9213
1528462975 DARIO BYUNG SAN ROMAN AGACNP/FNP
Individual
Nurse Practitioner (Family)410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-4262
1063911832 TERESA DARLENE COOMBS RN
Individual
Registered Nurse (Diabetes Educator)410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 845-4235
1639156177MR. DAVID R. REITTER MD
Individual
Surgery410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-9213
1225664485 SUMMER FARIS
Individual
Registered Nurse410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 545-2746
1912349754INSIGHT RADIOLOGY PC
Organization
Radiology (Diagnostic Radiology)410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-8081
1841870623TRINIDAD AREA HEALTH ASSOCIATION
Organization
Clinic/Center (Emergency Care)410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 845-3168
1184616740TRINIDAD AREA HEALTH ASSOCIATION
Organization
General Acute Care Hospital (Critical Access)410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-9213
1316983083DR. JAMES ANDREW CONRAD M.D.
Individual
Surgery410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-9213
1386210094HEALTH SOLUTIONS AT MOUNT SAN RAFAEL HOSPITAL CLINIC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 545-2746
1649464439DR. THOMAS J CARTER DO, PHD
Individual
Family Medicine410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 651-0024
1295178978INNOVA EMERGENCY MEDICAL ASSOCIATES PC
Organization
Emergency Medicine410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-9213
1700629250PARKVIEW ANCILLARY SERVICES
Organization
Clinic/Center410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-8051
1710702766 DAKOTA MARIE TARANGO
Individual
Registered Nurse (Emergency)410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 845-4262
1801682430MRS. LEONA MAY MYERS
Individual
Registered Nurse410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 846-9213
1861288425POUDRE VALLEY MEDICAL GROUP, LLC
Organization
Internal Medicine (Pulmonary Disease)410 BENEDICTA AVE
TRINIDAD, CO 81082
(719) 845-4243

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295354801, enumerated in the NPI registry as an "organization" on April 14, 2020

The provider is located at 410 Benedicta Ave Trinidad, Co 81082 and the phone number is (970) 624-4443

This medical organization specializes in Surgery with taxonomy code 208600000X

This NPI record was last updated on April 14, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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