Richard V Colan, M.D.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

28333 Issued in WI

Practice address

8825 S Howell Ave
Suite 101
Oak Creek, WI 53154-3760

Phone

(414) 762-3418

Fax

(414) 762-3439

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1003912346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE",
            "address_2": "SUITE 101",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-762-3418",
            "fax_number": "414-762-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S HOWELL AVE",
            "address_2": "SUITE 101",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543760",
            "telephone_number": "414-762-3418",
            "fax_number": "414-762-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAN",
        "first_name": "RICHARD",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WI",
            "license": "28333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30831400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Chybowski, DDS
• City of Oak Creek
• City of Oak Creek
• Irina Ciubotaru, MD
• Leslie A. Clark, LPC, CSAC, CIR, ICS-
• Comfort Care of Wi LLC
• Comfort Care of Wi LLC
• Community Memorial Hospital of Menomonee Falls Inc
• Natalie Connelly
• Jenna Nicole Cooper

• Neurology with Special Qualifications in Child Neurology Physician in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.