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 1346864790

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

In the registry since
2020
Specialties on file
8
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

5050 Powderhouse Rd
Cheyenne, WY 82009-4800
Phone: (307) 634-1311
Fax: (307) 634-1271
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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
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Pulmonary Disease Physician Taxonomy 207RP1001X
Otolaryngology Physician Taxonomy 207Y00000X
Neurology Physician Taxonomy 2084N0400X
Vascular Surgery Physician Taxonomy 2086S0129X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1346864790
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (307) 634-1311
Other names Uchealth Medical Group
NPI enumeratedJune 2, 2020
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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