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UCHEALTH PRIMARY CARE AND SPORTS MEDICINE CLINIC - LAKE PLAZA
NPI 1194344879
Family Medicine in Colorado Springs, CO

Active since April 13, 2020
1220 LAKE PLAZA DR STE 150, COLORADO SPRINGS, CO 80906(719) 365-3600(719) 365-3601 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2024, Apr 13, 2020 (2 updates tracked since 2020).

About Uchealth Primary Care And Sports Medicine Clinic - Lake Plaza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UCHEALTH PRIMARY CARE AND SPORTS MEDICINE CLINIC - LAKE PLAZA (NPI 1194344879), doing business as Uchealth Medical Group, is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since April 2020. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1194344879
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address1220 LAKE PLAZA DR STE 150Colorado Springs, CO 80906-3548
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Phone(719) 365-3600
Fax(719) 365-3601
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (719) 365-3600
Enumeration DateApril 13, 2020
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1194344879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X
1220 LAKE PLAZA DR STE 150, Colorado Springs, CO 80906
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Other Names 2

Other NameUchealth Primary Care And Sports Medicine Clinic - Lake Plaza
Doing Business AsUchealth Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHIZUKA BUCKNER FNP-C
Nurse Practitioner (Family)
1220 LAKE PLAZA DR STE 150
COLORADO SPRINGS, CO 80906
El Paso County (719) 365-3600
KRISTIE LAMOTTA FNP-BC
Nurse Practitioner
1220 LAKE PLAZA DR STE 150
COLORADO SPRINGS, CO 80906
El Paso County (719) 365-3600
AMELIA ANNE TRUESDALE FNP
Nurse Practitioner (Family)
1220 LAKE PLAZA DR STE 150
COLORADO SPRINGS, CO 80906
El Paso County (719) 365-3600
MRS. CYNTHIA S BAIRN FNP-BC
Nurse Practitioner (Family)
1220 LAKE PLAZA DR STE 150
COLORADO SPRINGS, CO 80906
El Paso County (719) 365-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poudre Valley Medical Group, LLC's NPI number?

The NPI number for Poudre Valley Medical Group, LLC is 1194344879. It was assigned to this organization in the NPPES registry on April 13, 2020. The provider is doing business as UCHealth Medical Group. The provider is also known as Uchealth Primary Care And Sports Medicine Clinic - Lake Plaza.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 1220 Lake Plaza Dr Ste 150, Colorado Springs, CO 80906. The listed phone number is (719) 365-3600.

What is Poudre Valley Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.