POUDRE VALLEY MEDICAL GROUP LLC NPI 1609405844

NPI Information

NPI: 1609405844
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC

Doing Business As: UCHEALTH MEDICAL GROUP

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 365-6999
Get Directions

POUDRE VALLEY MEDICAL GROUP, LLC is a vascular surgery surgery in Colorado Springs, CO. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1609405844. 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:

1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO
ZIP 80909-533
Phone: (719) 365-6999
Fax: (719) 365-2837

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 4/8/2020 and was last updated on 2/15/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	207L00000X	Anesthesiology		No
3	207RH0002X	Internal Medicine	Hospice and Palliative Medicine	No
4	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	208D00000X	General Practice		No
7	208M00000X	Hospitalist		No
8	2086S0129X	Surgery	Vascular Surgery	Yes

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

NPI Synchronization or Removal

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