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

Poudre Valley Medical Group, LLC

Organization Family Medicine Physician · NPI 1396371266

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

In the registry since
2020
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

16990 Village Center Dr E
Parker, CO 80134-9376
Phone: (720) 516-9191
Fax: (720) 516-9192
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1396371266
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 516-9191
Other names Uchealth Medical Group
NPI enumeratedMarch 23, 2020
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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