OrganizationActive
Poudre Valley Medical Group, LLC
NPI 1104439322 · Radiation Oncology Physician · Colorado Springs, CO
Provider details
- NPI number
- 1104439322
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Poudre Valley Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Jana Conroy, Director of Credentialing(719) 365-6800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
525 Bob Peters Grv Ste 100
Colorado Springs, CO 80909-4533
Phone: (719) 365-6800
Fax: (719) 365-5740
Approximate (ZIP-level) locationGet directions
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Other names (DBA / former)
- Doing business as
- Uchealth Medical Group
- Other name
- Uchealth Radiation Oncology - Memorial Central
Registry dates
- Enumerated
- 2020-08-27
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.