UCHEALTH MEDICAL GROUP – NPI #1063290203
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

UCHEALTH MEDICAL GROUP is a surgeon located in FORT COLLINS, CO. NPPES has assigned the NPI number 1063290203 to UCHEALTH MEDICAL GROUP on September 19, 2023. 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. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 2 years ago on May 22, 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
1063290203
Enumeration Date

(more than 2 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
Primary location
2121 E HARMONY RD UNIT 260
FORT COLLINS, CO 80528-3402
Phone: (970) 482-6456 Fax:
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone: Fax:
Organization Subpart
Yes - UCHEALTH MEDICAL GROUP is subpart of another organization.
Authorized Official
JANA CONROY
DIRECTOR OF CREDENTIALING
Phone: (970) 482-6456
Updated
Certification Date
May 22, 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
208600000X
- Surgery (Primary)
207RB0002X
- Internal Medicine / Obesity Medicine

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.