Kathryn V Hitchco*ck · 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 · Physician Assistant · Poudre Valley Medical Group LLC (2024)

Medicare Doctors and Clinicians

7207335260 · Physician Assistant · 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432

Overview

Kathryn V Hitchco*ck is a physician assistant enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is POUDRE VALLEY MEDICAL GROUP LLC. The business address is 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432. Published on January 10, 2017.

Enrollment Information

NPI 1255880688 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
PAC ID 6103107974 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20170110002139
Full Name KATHRYN V HITCHco*ck
Gender F
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name POUDRE VALLEY MEDICAL GROUP LLC
Group Practice PAC ID 9638208549
Number of Group Practice Members 1601
Address 4404 Barranca Ln
Unit 101
Castle Rock
CO 80104-7432
Telephone 7207335260
Professional Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full
Group Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full

Provider Overview

NPI 1255880688 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
Provider Name KATHRYN HITCHco*ck
Address 2500 Rocky Mountain Ave Ste 340
Loveland
CO 80538-9004
Taxonomy Code 363A00000X
Enumeration Date 2016-09-27

Location Information

Organization Legal NameAddressTelephone
POUDRE VALLEY MEDICAL GROUP LLC1107 S Lemay Ave Unit, 240 Uchmg Brain and Spine Fort Collins, Fort Collins, CO 80524-39599704957420
POUDRE VALLEY MEDICAL GROUP LLC2500 Rocky Mountain Ave, Loveland, CO 80538-9004
POUDRE VALLEY MEDICAL GROUP LLC6767 W 29th St, Greeley Medical Center, Greeley, CO 80634-54749702243636
POUDRE VALLEY MEDICAL GROUP LLC8890 N Union Blvd, Colorado Springs, CO 80920-2701

Extra Contact Information

AddressTelephoneGroup Practice PAC ID
1107 S Lemay Ave Unit, 240 Uchmg Brain and Spine Fort Collins, Fort Collins, CO 80524-395997049574209638208549
2500 Rocky Mountain Ave, Loveland, CO 80538-90049638208549
2500 Rocky Mountain Ave, Loveland, CO 80538900497020370009638208549
2500 Rocky Mountain Ave, Loveland, CO 80538900497020372509638208549
2500 Rocky Mountain Ave, Loveland, CO 80538900497029769919638208549
2500 Rocky Mountain Ave, Loveland, CO 80538900497049574219638208549
2500 Rocky Mountain Ave, Loveland, CO 80538900497061961009638208549
2500 Rocky Mountain Ave, Loveland, CO 80538900497062418009638208549
2500 Rocky Mountain Ave, Loveland, CO 80538900497062419009638208549
6767 W 29th St, Greeley Medical Center, Greeley, CO 80634-547497022436369638208549
8890 N Union Blvd, Colorado Springs, CO 80920-27019638208549
8890 N Union Blvd, Colorado Springs, CO 80920270171936450059638208549
8890 N Union Blvd, Colorado Springs, CO 80920270171936456339638208549

Organization Information

Organization Legal Name POUDRE VALLEY MEDICAL GROUP LLC
Address 4404 Barranca Ln
Unit 101
Castle Rock
CO 80104-7432
Telephone 7207335260

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Morgan Estes Physical TherapyPoudre Valley Medical Group LLC1455 Main St, Suite 160, Windsor, CO 80550-5561
Kyle Adkins Internal MedicinePoudre Valley Medical Group LLC1106 E Prospect Rd, Suite 100 Uchmg Im / Endo, Fort Collins, CO 80525-5304
Anne-Claire Frey Nurse PractitionerPoudre Valley Medical Group LLC4674 Snow Mesa Dr, Suite 200, Fort Collins, CO 80528-8614
Emily Ahadizadeh OtolaryngologyPoudre Valley Medical Group LLC2001 S Shields St, Bldg E Suite 101 Uchealth Ear Nose Throat Ft Collins, Fort Collins, CO 80526-1827
Susan K Mueller Nurse PractitionerPoudre Valley Medical Group LLC1159 Eagle Dr, Urgent Care Eagle Drive, Loveland, CO 80537-8020
Ian Anthony Mullikin Hand SurgeryPoudre Valley Medical Group LLC175 S Union Blvd, Suite 310 Uchmg Primary Care Printers Park, Colorado Springs, CO 80910-3126
Benjamin Powell General SurgeryPoudre Valley Medical Group LLC4110 Briargate Pkwy, Colorado Springs, CO 80920-7835
Leon Pablo Campos Family PracticePoudre Valley Medical Group LLC8890 N Union Blvd, Suite 170 Uchmg Primary Care Briargate, Colorado Springs, CO 80920-2701
Phebe Ann Abraham Internal MedicinePoudre Valley Medical Group LLC6767 29th St, Greeley, CO 80634-5474
Benjamin Carl Meyer Orthopedic SurgeryPoudre Valley Medical Group LLC16222 W Us Hwy 24 220, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763
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Location Information

Street Address 4404 BARRANCA LN
UNIT 101
City CASTLE ROCK
State CO
Zip Code 80104-7432

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Shannon L Mcnamara Physician AssistantPoudre Valley Medical Group LLC4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Karli Renee Gerwig Physical TherapyUchealth Community Services4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Faisal Javaid Internal MedicinePoudre Valley Medical Group LLC4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Stephanie Sydney Physician AssistantPoudre Valley Medical Group LLC4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Meghan Marguerite Branston NeurologyPoudre Valley Medical Group LLC4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Brian Duffy Physician AssistantPoudre Valley Medical Group LLC4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Rebecca Darlene Harris Physician AssistantPoudre Valley Medical Group LLC4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Amanda Senanayake Physician AssistantPoudre Valley Medical Group LLC4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Matthew Thomas Lopez Physical TherapyUchealth Community Services4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
Josephine Kim Ngo Physician AssistantPoudre Valley Medical Group LLC4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Christopher A Carpenter Family PracticeHealthone Clinic Services - Primary Care LLC1175 S Perry St, Suite 200, Castle Rock, CO 80104-0015
Renata P Oliveira Micrographic Dermatologic Surgery (Mds)Vanguard Medical Specialists LLC1175 S Perry St, Suite 220, Castle Rock, CO 80104-0017
Kenneth A Bush Physical TherapyNo Limits Pt LLC725 N Wilcox St, Castle Rock, CO 80104-1740
Jamie Parsons-Archuletta Physical TherapyNo Limits Pt LLC725 N Wilcox St, Castle Rock, CO 80104-1740
Alexandra Suellentrop Physical TherapyNo Limits Pt LLC725 N Wilcox St, Castle Rock, CO 80104-1740
Rachel L Frederickson Physician AssistantVanguard Medical Specialists LLC1175 S Perry St, Suite 220, Castle Rock, CO 80104-0017
Rebecca Anne Romanowicz Physical TherapyCastle Rock Therapies, LLC2 Oakwood Park Plz, Suite 200, Castle Rock, CO 80104-1885
Dalton J Mackay Family MedicineHealthone Clinic Services Primary Care LLC1175 S Perry St, Suite 200, Castle Rock, CO 80104-0015
Samantha M Kotz Physical TherapyNo Limits Pt LLC725 N Wilcox St, Castle Rock, CO 80104-1740
Julia Michelle Agin Qualified Speech Language PathologistCastle Rock Therapies, LLC2 Oakwood Park Plz, Suite 200, Castle Rock, CO 80104-1885
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Similar Physicians

Doctors with similar names

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Amy Hitchco*ck Clinical Social Worker267 Washington St, Waldron, AR 72958-7090
Sara Hitchco*ck Nurse PractitionerAlbany Medical College47 New Scotland Ave, Albany, NY 12208-3412
Michelle R Hitchco*ck Physician AssistantCenter for Orthopedic Research and Education LLC10494 W Thunderbird Blvd, Sun City, AZ 85351-6122
Todd M Hitchco*ck Cardiovascular Disease (Cardiology)Scripps Health3811 Valley Centre Dr, San Diego, CA 92130-3318
Ying J Hitchco*ck Radiation OncologyUniversity of Utah Adult Services1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500
Lauri L Hitchco*ck Family PracticeThe Association of University Physicians1455 Nw Leary Way, Suite 250, Seattle, WA 98107-5138
Melissa D Hitchco*ck Nurse PractitionerCox-Monett Hospital Inc1000 E Hwy 60, Monett, MO 65708
Holly J Hitchco*ck Nurse PractitionerWestern Washington Emergency Physicians PLLC14815 Pacific Ave S, Tacoma, WA 98444-4654
Karen Hitchco*ck Physical TherapyTheraplay LLC4651 W Vernal Pike, Bloomington, IN 47404-9334
Emily Hitchco*ck Internal MedicineProvidence Health and Services Oregon5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984

Improve Information

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Dataset Information

This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider Centers for Medicare & Medicaid Services (CMS)
Source data.cms.gov

Dataset Details

The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:

  • The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
  • Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
  • Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
  • performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.

This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Kathryn V Hitchco*ck · 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 · Physician Assistant · Poudre Valley Medical Group LLC (2024)
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