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

Poudre Valley Medical Group, LLC

Organization Dermatology Physician · NPI 1194280263

Poudre Valley Medical Group, LLC is a Dermatology Physician in Firestone, Colorado. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11083 Colorado Blvd
Firestone, CO 80504-5873
Phone: (303) 833-8880
Fax: (303) 682-8007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dermatology Physician Taxonomy 207N00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1194280263
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (303) 833-8880
Other names Uchealth Medical Group
NPI enumeratedFebruary 4, 2019
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071