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Poudre Valley Medical Group, LLC

Vascular Surgery Physician in Colorado Springs, CO · enumerated 2020 · authorized official Jana Conroy, Director of Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477168557

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Registry record

Entity type Organization (Type 2)
Legal business name Poudre Valley Medical Group, LLC
Other name <Unavail>
Parent organization Poudre Valley Medical Group, LLC
Practice address 1400 E Boulder St Ste 600, Colorado Springs, CO, 80909
Fax (719) 364-8347
Enumeration date Sep 15, 2020
Last updated in NPPES Jul 30, 2024

Taxonomy & classification

202K00000X Phlebology Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jana Conroy
Title Director of Credentialing

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-07-30. Verify at npiregistry.cms.hhs.gov.
Where is Poudre Valley Medical Group, LLC located?
The practice location on file with NPPES is in Colorado Springs, CO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-30.