Mark Camden Loury, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

33274 Issued in CO

Practice address

2001 S Shields St Ste E101
Fort Collins, CO 80526-1872

Phone

(970) 493-5334

Fax

(970) 493-3727

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.loury@788.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1003889353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE E101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261872",
            "telephone_number": "970-493-5334",
            "fax_number": "970-472-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE E101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261872",
            "telephone_number": "970-493-5334",
            "fax_number": "970-493-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURY",
        "first_name": "MARK",
        "middle_name": "CAMDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CO",
            "license": "33274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01332741",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040007458",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ebony Loterbauer
• Ben Lotstein, MFTC
• Lotus Blooming Out LLC
• Emily Louer
• Jacqueline Athene Lounsbury, MA, MFTC, R-DMT
• Robin Love, MA, LPCC
• Jessica Loveall, LPCC
• Kathryn Leigh Lovoi, PA-C
• Amethyst Lowe
• Jeffrey Lowe

• Otolaryngology Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Otolaryngology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.