UCHEALTH MEDICAL GROUP – NPI #1477168557
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

UCHEALTH MEDICAL GROUP is a surgeon located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1477168557 to UCHEALTH MEDICAL GROUP on September 15, 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. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Jul 30, 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
1477168557
Enumeration Date

(more than 5 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
1400 E BOULDER ST STE 600
COLORADO SPRINGS, CO 80909-5533
Phone: (719) 364-8346 Fax: (719) 364-8347
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: (719) 364-8346
Updated
Certification Date
Jul 30, 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
2086S0129X
- Surgery / Vascular Surgery (Primary)
202K00000X
- Phlebology

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.