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 Cardiovascular Disease Physician · NPI 1518627603

Poudre Valley Medical Group, LLC is a Cardiovascular Disease Physician in Longmont, Colorado. Registered with an NPI since 2021.

In the registry since
2021
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

1760 E Ken Pratt Blvd Ste 205
Longmont, CO 80504-5311
Phone: (720) 718-3930
Fax: (720) 718-0939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1518627603
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPoudre Valley Medical Group, LLC
Authorized official Jana Conroy — Director Of Credentialing · (720) 718-3930
Other names Uchealth Medical Group
NPI enumeratedDecember 30, 2021
Last updated in NPPESSeptember 2, 2025
Certification dateAugust 1, 2024
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

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