Provider Type Icon

POUDRE VALLEY MEDICAL GROUP LLC NPI 1114532801


NPI Information

NPI: 1114532801
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
16222 W US HIGHWAY 24 STE 220
WOODLAND PARK, CO
ZIP 80863
Phone: (719) 653-2960
Get Directions

POUDRE VALLEY MEDICAL GROUP, LLC is a general practice in Woodland Park, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1114532801. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uchealth Medical Group.

The provider's business location address is:

16222 W US HIGHWAY 24 STE 220
WOODLAND PARK, CO
ZIP 80863-763
Phone: (719) 653-2960
Fax: (719) 374-6212

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (970) 624-4443.

The enumeration date for this NPI number is 9/10/2020 and was last updated on 6/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
2207X00000XOrthopaedic SurgeryNo
3207Y00000XOtolaryngologyNo
42084N0400XPsychiatry & NeurologyNeurologyNo
5208600000XSurgeryNo
62086S0129XSurgeryVascular SurgeryNo
7208800000XUrologyNo
8207RC0000XInternal MedicineCardiovascular DiseaseNo
9207RP1001XInternal MedicinePulmonary DiseaseNo
10207T00000XNeurological SurgeryNo
11207UN0901XNuclear MedicineNuclear CardiologyNo
12207V00000XObstetrics & GynecologyNo
13208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.