Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Griffin David Tanenbaum, PA-C

Individual provider Physician Assistant · NPI 1568044733

Griffin David Tanenbaum, PA-C is a Physician Assistant in Loveland, Colorado. Graduated from Rush Medical College of Rush University in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2500 Rocky Mountain Ave Ste 100
Loveland, CO 80538-9004
Phone: (970) 221-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10370 Haligus Rd Ste 200, Huntley, IL 60142-9582 — (815) 759-8070
  • 4309 W Medical Center Dr Ste A200, McHenry, IL 60050-8437 — (815) 759-8070

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085008304 (IL)

Record details

NPI number1568044733
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 26, 2021
Last updated in NPPESNovember 25, 2022
Certification dateNovember 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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