Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Urology Physician · Colorado Springs, CO

NPI number 1114603222 Active

Practice location

3843 Rio Vista Drive, Suite 2300
Colorado Springs, CO 80917-3380

Call (719) 365-3700 Map

Fax (719) 365-3701

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician	207RH0003X	None listed
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

10 other providers at this address

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NPI record

NPI: 1114603222
Entity type: Organization (Type 2)
Issued: Jun 23, 2023
Last updated: Sep 3, 2026
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Medical Group · doing business as

Authorized official

Jana Conroy
Director of Credentialing
(719) 365-3700

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114603222

Poudre Valley Medical Group, LLC's National Provider Identifier is 1114603222, issued on Jun 23, 2023. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 3, 2026.