POUDRE VALLEY MEDICAL GROUP LLC NPI 1114532801

NPI Information

  • NPI: 1114532801
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: UCHEALTH MEDICAL GROUP
  • Address: 16222 W US HIGHWAY 24 STE 220
    WOODLAND PARK, CO
    ZIP 80863
  • Phone: (719) 653-2960

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NPI Details

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 (719) 365-2960.

The enumeration date for this NPI number is 9/10/2020 and was last updated on 10/24/2024.

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 License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207T00000XNeurological SurgeryNo
4207UN0901XNuclear MedicineNuclear CardiologyNo
5207V00000XObstetrics & GynecologyNo
6207X00000XOrthopaedic SurgeryNo
7207Y00000XOtolaryngologyNo
82084N0400XPsychiatry & NeurologyNeurologyNo
9208600000XSurgeryNo
102086S0129XSurgeryVascular SurgeryNo
11208800000XUrologyNo
12208D00000XGeneral PracticeYes
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No

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: 11/21/2025

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