Active NPI
Colleen Victory, MD
- Emergency Medicine Physician
- Cleveland, OH
National Provider Identifier
1033552724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35069335
- Practice address
- 600 Superior Ave E
Suite 2400
Cleveland, OH 44114-2614 - Phone
- (216) 337-1622
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35069335 | OH | Primary |
Addresses
Primary practice location
600 Superior Ave E
Suite 2400
Cleveland, OH 44114-2614
Mailing address
600 Superior Ave E
Suite 2400
Cleveland, OH 44114-2614
Phone (216) 337-1622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64310 | FL | MD | Pharmacist |
| 35069335 | OH | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1033552724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SUPERIOR AVE E",
"address_2": "SUITE 2400",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441142614",
"telephone_number": "216-337-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SUPERIOR AVE E",
"address_2": "SUITE 2400",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441142614",
"telephone_number": "216-337-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORY",
"first_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35069335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.