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

Mark Ryan Wisthoff, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1730407321

Mark Ryan Wisthoff, DO is a Family Practice in Denver, Colorado. Graduated from Mid West Medical College in 2010, 16 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
16
Trained at
Mid West Medical College
Licensed in
CO
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4660 Yosemite St Ste 100
Denver, CO 80238-4481
Phone: (720) 516-8902
Fax: (720) 516-8903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0050751 (CO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 50751 (CO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence DR.0050751 (CO)

Record details

NPI number1730407321
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2010
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolMID WEST MEDICAL COLLEGE
Graduated 2010 (16 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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