UCHEALTH MEDICAL GROUP – NPI #1700490455
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Health Care Provider Taxonomy Code for Radiology

UCHEALTH MEDICAL GROUP is a radiologist located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1700490455 to UCHEALTH MEDICAL GROUP on September 01, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UCHEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is POUDRE VALLEY MEDICAL GROUP, LLC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was last updated on Aug 05, 2024. 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 UCHEALTH MEDICAL GROUP below.

NPI Profile for
POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number
1700490455
Enumeration Date

(about 6 years 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
Doing Business As (dba): UCHEALTH MEDICAL GROUP
Other name(s)
All associated names:
Doing Business As (dba)
UCHEALTH MEDICAL GROUP
Other Name
UCHealth Radiation Oncology - Memorial North
Primary location
4080 BRIARGATE PARKWAY
COLORADO SPRINGS, CO 80920
Phone: (719) 365-6800 Fax: (719) 365-5740
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone: (719) 365-6800 Fax: (719) 365-5740
Organization Subpart
Yes - UCHEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
JANA CONROY
DIRECTOR OF CREDENTIALING
Phone: (719) 365-6800
Updated
Certification Date
Aug 05, 2024

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.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

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.