POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1326847427
Otolaryngology in Pueblo, CO

NPI Status: Active since March 11, 2025

Contact Information

1218 S PUEBLO BLVD
PUEBLO, CO
ZIP 81005
Phone: (719) 542-1803
Fax: (719) 542-1807

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  • Organization
  • Otolaryngology

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 Otolaryngology. The healthcare provider is registered in the NPI registry with number 1326847427 assigned on March 2025. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated March 2025. Poudre Valley Medical Group, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jana Conroy (Director Of Credentialing)

NPI
1326847427
Provider Name
POUDRE VALLEY MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
1218 S PUEBLO BLVD PUEBLO, CO 81005
Location Phone
(719) 542-1803
Location Fax
(719) 542-1807
Mailing Address
2695 ROCKY MOUNTAIN AVE STE 150 LOVELAND, CO 80538
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-11-2025
Last Update Date
03-11-2025
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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) 542-1803

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326847427
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23461641444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 1 + 6 + 4 + 1 + 4 + 4 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1326847427 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134259286 RUTH M. MILLER MA
Individual
Audiologist1218 S PUEBLO BLVD
PUEBLO, CO 81005
(719) 566-1277
1912178880DR. NICHOLE RENEE KOVEL AU.D.
Individual
Audiologist1218 S PUEBLO BLVD
PUEBLO, CO 81005
(719) 566-1277
1205167871 ESPERANZA F SALAZAR M.D.
Individual
Otolaryngology1218 S PUEBLO BLVD
PUEBLO, CO 81005
(719) 566-1277
1417909938DR. CHARLENE J HICKSON M.D.
Individual
Otolaryngology1218 S PUEBLO BLVD
PUEBLO, CO 81005
(719) 566-1277
1649757485MRS. JOELYNN MARIE CARTMELL NP
Individual
Nurse Practitioner1218 S PUEBLO BLVD
PUEBLO, CO 81005
(719) 542-1803
1609561265PARKVIEW ANCILLARY SERVICES
Organization
Otolaryngology1218 S PUEBLO BLVD
PUEBLO, CO 81005
(719) 542-1803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326847427, enumerated in the NPI registry as an "organization" on March 11, 2025

The provider is located at 1218 S Pueblo Blvd Pueblo, Co 81005 and the phone number is (719) 542-1803

This medical organization specializes in Otolaryngology with taxonomy code 207Y00000X

This NPI record was last updated on March 11, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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