POUDRE VALLEY MEDICAL GROUP LLC NPI 1720822232

NPI Information

  • NPI: 1720822232
  • Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 1400 E BOULDER ST STE 1150
    COLORADO SPRINGS, CO
    ZIP 80909
  • Phone: (719) 365-5572

Map and Directions

Get Directions

NPI Details

POUDRE VALLEY MEDICAL GROUP, LLC is a hematology and oncology internal medicine in Colorado Springs, CO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. POUDRE VALLEY MEDICAL GROUP, LLC NPI is 1720822232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 E BOULDER ST STE 1150
COLORADO SPRINGS, CO
ZIP 80909-533
Phone: (719) 365-5572
Fax: (719) 365-5129

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (719) 365-5572.

The enumeration date for this NPI number is 6/20/2024 and was last updated on 6/20/2024.

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 & OncologyYes

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI