Organization · Type 2 NPI

Poudre Valley Medical Group, LLC

Hematology & Oncology Physician · Estes Park, CO

NPI number 1760001382 Active

Practice location

555 Prospect Ave
Estes Park, CO 80517-6312

Call (970) 577-4478 Map

Fax (970) 577-4486

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician	207RC0000X	None listed
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

31 other providers at this address

NPI record

NPI: 1760001382
Entity type: Organization (Type 2)
Issued: Apr 14, 2020
Last updated: May 20, 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
(970) 577-4478

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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 1760001382

Poudre Valley Medical Group, LLC's National Provider Identifier is 1760001382, issued on Apr 14, 2020. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Estes Park, CO. The record was last updated on May 20, 2026.