Organization Active NPI

Vantage Medical Inc

  • Multi-Specialty Clinic/Center
  • Loveland, CO
National Provider Identifier
1801545926
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VANTAGE MEDICAL INC
Practice address
4190 N Garfield Ave Ste 2
Loveland, CO 80538-2241
Phone
(907) 663-2273
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Shane Jeffery Countryman, DC
Title
Owner
Phone
(970) 663-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4190 N Garfield Ave Ste 2
Loveland, CO 80538-2241

Mailing address

4190 N Garfield Ave Ste 2
Loveland, CO 80538-2241
Phone (907) 663-2273

National Provider Directory

National Provider Directory

Locations

4190 N Garfield Ave
Ste 2
Loveland, CO 80538
Phone (907) 663-2273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801545926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 N GARFIELD AVE STE 2",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382241",
            "telephone_number": "907-663-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 N GARFIELD AVE STE 2",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382241",
            "telephone_number": "907-663-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-09-11",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "COUNTRYMAN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-663-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.