NPIMap

Organization Active NPI

Edward L. Colby D.O. Inc.

  • Internal Medicine Physician
  • Cambridge, OH
National Provider Identifier
1023136587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34004997 Issued in OH
Legal business name
EDWARD L. COLBY D.O. INC.
Practice address
61353 Southgate Rd
Suite#6
Cambridge, OH 43725-6607
Phone
(740) 432-3434
Fax
(740) 432-4035
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward Lawrence Colby, D.O.NPI 1518956473
Title
President
Phone
(740) 432-3434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34004997 OH Primary

Addresses

Primary practice location

61353 Southgate Rd
Suite#6
Cambridge, OH 43725-6607

Mailing address

61353 Southgate Rd
Suite#6
Cambridge, OH 43725-6607
Phone (740) 432-3434

Other identifiers 5

IdentifierTypeStateIssuer
000000119977OtherOHCOMMUNITY MUTUAL
298728719002OtherOHMED MUTUAL ED
2341344MedicaidOH
295500551002OtherOHMED MUTUAL LINDA
0879830MedicaidOH

National Provider Directory

National Provider Directory

Locations

61353 Southgate Rd
Ste 6
Cambridge, OH 43725
Phone (740) 432-3434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023136587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61353 SOUTHGATE RD",
            "address_2": "SUITE#6",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437256607",
            "telephone_number": "740-432-3434",
            "fax_number": "740-432-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61353 SOUTHGATE RD",
            "address_2": "SUITE#6",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437256607",
            "telephone_number": "740-432-3434",
            "fax_number": "740-432-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L. COLBY D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLBY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-432-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34004997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY MUTUAL",
            "identifier": "000000119977",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUTUAL ED",
            "identifier": "298728719002",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2341344",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUTUAL LINDA",
            "identifier": "295500551002",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0879830",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.