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POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1649155649
Internal Medicine - Pulmonary Disease in Pueblo, CO

Active since August 08, 2025
1008 MINNEQUA AVE, PUEBLO, CO 81004(719) 557-5243 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Poudre Valley Medical Group, Llc NPPES

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

POUDRE VALLEY MEDICAL GROUP, LLC (NPI 1649155649) is a healthcare organization registered as a pulmonary disease in Pueblo, Colorado and active in the NPI registry since August 2025. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1649155649
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address1008 MINNEQUA AVEPueblo, CO 81004-3733
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4443
Phone(719) 557-5243
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (970) 624-4443
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1649155649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1008 MINNEQUA AVE, Pueblo, CO 81004
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Other Providers at the Same Location NPPES 20

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

DR. MICHAEL J MCCOLLUM M.D.
Radiology (Diagnostic Radiology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pueblo County (719) 542-7891
MATTHEW L. GARCIA PTA
Physical Therapy Assistant
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5417
MICHAEL R. HERRON CRNA
Nurse Anesthetist, Certified Registered
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pueblo County (719) 560-5717
GEOFFREY ERIC JOHNSON MD
Radiology (Radiation Oncology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5460
MR. KRISTOPHER A. BLACK CRNA
Nurse Anesthetist, Certified Registered
1008 MINNEQUA AVE, OR/ANESTHESIOLOGY
PUEBLO, CO 81004
Pueblo County (719) 557-3824
PUEBLO RADIATION ONCOLOGY, P.C.
Radiology (Radiation Oncology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pueblo County (719) 560-5482
CATHOLIC HEALTH INITIATIVES COLORADO
Pharmacy (Community/Retail Pharmacy)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5676
MR. WARREN A. BERG AAS
Physical Therapy Assistant
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5001

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 1649155649. It was assigned to this organization in the NPPES registry on August 8, 2025.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 1008 Minnequa Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5243.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.