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

Poudre Valley Medical Group, LLC

Organization Family Medicine Physician · NPI 1194344879

Poudre Valley Medical Group, LLC is a Family Medicine Physician in Colorado Springs, Colorado. Registered with an NPI since 2020.

In the registry since
2020
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

1220 Lake Plaza Dr Ste 150
Colorado Springs, CO 80906-3548
Phone: (719) 365-3600
Fax: (719) 365-3601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X

Record details

NPI number1194344879
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (719) 365-3600
Other names Uchealth Medical Group; Uchealth Primary Care And Sports Medicine Clinic - Lake Plaza
NPI enumeratedApril 13, 2020
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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