POUDRE VALLEY MEDICAL GROUP, LLC – NPI #1912853755
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

POUDRE VALLEY MEDICAL GROUP, LLC is a provider located in LONGMONT, CO. NPPES has assigned the NPI number 1912853755 to POUDRE VALLEY MEDICAL GROUP, LLC on March 05, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POUDRE VALLEY MEDICAL GROUP, LLC below.

NPI Profile for
POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number
1912853755
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POUDRE VALLEY MEDICAL GROUP, LLC
Primary location
1760 E KEN PRATT BLVD STE 401
LONGMONT, CO 80504-5311
Phone: (720) 718-8180 Fax:
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone: Fax:
Organization Subpart
Yes - POUDRE VALLEY MEDICAL GROUP, LLC is subpart of another organization.
Authorized Official
JANA CONROY
DIRECTOR OF CREDNETIALING
Phone: (720) 718-8180
Updated
Certification Date
Mar 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.