POUDRE VALLEY MEDICAL GROUP, LLC – NPI #1831875947
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.

POUDRE VALLEY MEDICAL GROUP, LLC is a surgeon located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1831875947 to POUDRE VALLEY MEDICAL GROUP, LLC on June 23, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. POUDRE VALLEY MEDICAL GROUP, LLC is also known by the name UCHEALTH BREAST SURGICAL CLINIC - EASTVIEW. This provider is also associated with 2 additional names listed below. 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 last updated on Aug 09, 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 POUDRE VALLEY MEDICAL GROUP, LLC below.

NPI Profile for
POUDRE VALLEY MEDICAL GROUP, LLC

NPI Number
1831875947
Enumeration Date

(about 3 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
Other Name: UCHEALTH BREAST SURGICAL CLINIC - EASTVIEW
Other name(s)
All associated names:
Other Name
UCHEALTH BREAST SURGICAL CLINIC - EASTVIEW
Doing Business As (dba)
UCHealth Medical Group
Primary location
3843 RIO VISTA DRIVE
SUITE 2600
COLORADO SPRINGS, CO 80917-3379
Phone: (719) 477-0211 Fax: (719) 477-0501
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 CREDENTIALING
Phone: (719) 477-0211
Updated
Certification Date
Aug 09, 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)

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.