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 1285931865

Poudre Valley Medical Group, LLC is a Family Medicine Physician in Fort Collins, Colorado. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
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

1106 E Prospect Rd Bldg B Ste 100
Fort Collins, CO 80525-5304
Phone: (970) 495-7410
Fax: (970) 495-7425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1285931865
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (970) 495-7410
Other names Uchealth Medical Group
NPI enumeratedFebruary 17, 2011
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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