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POUDRE VALLEY MEDICAL GROUP LLC NPI 1164136297


NPI Information

NPI: 1164136297
Provider Name: POUDRE VALLEY MEDICAL GROUP, LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2500 ROCKY MOUNTAIN AVE STE 360
LOVELAND, CO
ZIP 80538
Phone: (970) 221-1000
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POUDRE VALLEY MEDICAL GROUP, LLC is a surgery in Loveland, CO. The provider is 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 NPI is 1164136297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 ROCKY MOUNTAIN AVE STE 360
LOVELAND, CO
ZIP 80538-004
Phone: (970) 221-1000
Fax: (970) 624-1892

The provider's authorized official is Jana Conroy .
The authorized official title is Director Of Credentialing and has the following contact phone number (970) 624-4443.

The enumeration date for this NPI number is 1/12/2023 and was last updated on 1/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
22086S0129XSurgeryVascular SurgeryNo
3208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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