POUDRE VALLEY INTERNISTS PC
NPI 1417993916
Specialist in Fort Collins, CO

NPI Status: Active since June 22, 2006

Contact Information

4674 SNOW MESA DR
STE 100
FORT COLLINS, CO
ZIP 80528
Phone: (970) 482-3712
Fax: (970) 482-4057

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  • Organization
  • Specialist

About POUDRE VALLEY INTERNISTS PC

This page provides the complete NPI Profile along with additional information for Poudre Valley Internists Pc, a provider established in Fort Collins, Colorado operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1417993916 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Melissa Mccann-stoeckle (Billing Manager)

NPI
1417993916
Provider Name
POUDRE VALLEY INTERNISTS PC
Entity Type
Organization
Location Address
4674 SNOW MESA DR STE 100 FORT COLLINS, CO 80528
Location Phone
(970) 482-3712
Location Fax
(970) 482-4057
Mailing Address
4674 SNOW MESA DR SUITE 100 FORT COLLINS, CO 80528
Mailing Phone
(970) 482-3712
Mailing Fax
(970) 482-4057
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2006
Last Update Date
05-01-2009
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MELISSA MCCANN-STOECKLE

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(970) 482-3712

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A8908MEDICARE ID-TYPE UNSPECIFIED (04)CO 
06D0911568OTHER (01)COCLIA
117631500MEDICAID (05)WY 
10025031400MEDICAID (05)NE 
CH9273MEDICARE ID-TYPE UNSPECIFIED (04)CORAILROAD
05675839MEDICAID (05)CO 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417993916, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 8 + 9 + 6 + 9 + 2 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1417993916.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Physical Therapist
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Physician Assistant
4674 SNOW MESA DR, SUITE140
FORT COLLINS, CO 80528
Specialist
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Physical Therapist
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Nurse Practitioner
4674 SNOW MESA DR, STE 100
FORT COLLINS, CO 80528
Family Medicine
4674 SNOW MESA DR, STE 140
FORT COLLINS, CO 80528
Physician Assistant
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Counselor (Professional)
4674 SNOW MESA DR
FORT COLLINS, CO 80528
Specialist
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Counselor (Professional)
4674 SNOW MESA DR, #140
FORT COLLINS, CO 80528
Preventive Medicine (Occupational Medicine)
4674 SNOW MESA DR
FORT COLLINS, CO 80528
Physical Therapist
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Massage Therapist
4674 SNOW MESA DR, SUITE 200
FORT COLLINS, CO 80528
Family Medicine
4674 SNOW MESA DR, STE 140
FT COLLINS, CO 80528
Family Medicine
4674 SNOW MESA DR, SUITE 140
FORT COLLINS, CO 80528
Preventive Medicine (Occupational Medicine)
4674 SNOW MESA DR, STE 200
FORT COLLINS, CO 80528
Physician Assistant
4674 SNOW MESA DR, SUTIE 140
FORT COLLINS, CO 80528
Nurse Practitioner (Family)
4674 SNOW MESA DR, SUITE 100
FORT COLLINS, CO 80528
Social Worker (Clinical)
4674 SNOW MESA DR, STE 140
FORT COLLINS, CO 80528

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417993916, enumerated as an "organization" on June 22, 2006.

The provider is located at 4674 SNOW MESA DR STE 100 FORT COLLINS, CO 80528 and the phone number is (970) 482-3712.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.