Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Vascular Surgery Physician · Loveland, CO

NPI number 1578242525 Active

Practice location

2500 Rocky Mountain Ave Ste 340
Loveland, CO 80538-9004

Call (970) 829-5535 Map

Fax (970) 221-1000

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician	207RC0000X	None listed
Surgery Physician	208600000X	None listed
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

9 other providers at this address

NPI record

NPI: 1578242525
Entity type: Organization (Type 2)
Issued: Jul 17, 2023
Last updated: Jul 29, 2025
Status: Active
Subpart: Yes of Poudre Valley Medical Group, LLC

Other names

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Uchealth Medical Group · doing business as
Uchealth Vascular Surgery Clinic - Loveland · other name

Authorized official

Jana Conroy
Director of Credentialing
(970) 829-5535

Verify this record

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 1578242525

Poudre Valley Medical Group, LLC's National Provider Identifier is 1578242525, issued on Jul 17, 2023. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Loveland, CO. The record was last updated on Jul 29, 2025.