POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1336936830
Surgery in Pueblo, CO

NPI Status: Active since April 21, 2025

Contact Information

1600 N GRAND AVE STE 430
PUEBLO, CO
ZIP 81003
Phone: (719) 545-8240
Fax: (719) 545-4319

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  • Organization
  • Surgery

About POUDRE VALLEY MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Poudre Valley Medical Group, Llc, a provider established in Pueblo, Colorado operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1336936830 assigned on April 2025. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated one year ago. Poudre Valley Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jana Conroy (Director Of Credentialing)

NPI
1336936830
Provider Name
POUDRE VALLEY MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
1600 N GRAND AVE STE 430 PUEBLO, CO 81003
Location Phone
(719) 545-8240
Location Fax
(719) 545-4319
Mailing Address
2695 ROCKY MOUNTAIN AVE STE 150 LOVELAND, CO 80538
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-21-2025
Last Update Date
04-21-2025
Code Navigator

A surgeon like Poudre Valley Medical Group, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANA CONROY

Authorized Official Title
DIRECTOR OF CREDENTIALING
Authorized Official Phone
(719) 545-8240

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336936830, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 8 + 3 + 1 + 2 + 8 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1336936830.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Surgery
1600 N GRAND AVE STE 430
PUEBLO, CO 81003
Clinic/Center
1600 N GRAND AVE STE 430
PUEBLO, CO 81003
Surgery
1600 N GRAND AVE STE 430
PUEBLO, CO 81003
Nurse Practitioner (Gerontology)
1600 N GRAND AVE STE 430
PUEBLO, CO 81003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336936830, enumerated as an "organization" on April 21, 2025.

The provider is located at 1600 N GRAND AVE STE 430 PUEBLO, CO 81003 and the phone number is (719) 545-8240.

Surgery with taxonomy code 208600000X.