Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colorado Medical Group, PLLC

Organization Obstetrics & Gynecology Physician · NPI 1700573201

Colorado Medical Group, PLLC is an Obstetrics & Gynecology Physician in Longmont, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1551 Professional Ln Unit 240
Longmont, CO 80501-6967
Phone: (800) 991-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1700573201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Wazni — Chief Medical Officer · (518) 817-1747
Other names United Vein & Vascular Centers
NPI enumeratedApril 24, 2023
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address3810 Northdale Blvd Ste 150, Tampa, FL 33624-1871

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