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

Poudre Valley Medical Group, LLC

Organization Cardiovascular Disease Physician · NPI 1154008779

Poudre Valley Medical Group, LLC is a Cardiovascular Disease Physician in Colorado Springs, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3843 Rio Vista Dr Ste 2100
Colorado Springs, CO 80917-3381
Phone: (719) 364-5250
Fax: (719) 364-5251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1154008779
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 364-5250
Other names Uchealth Medical Group; Uchealth Medical Group
NPI enumeratedJuly 5, 2023
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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