Colleen M Pema, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34006107 Issued in OH

Practice address

104 N Murray Hill Road
Columbus, OH 43228-1524

Phone

(614) 878-6413

Fax

(614) 878-1159

NPI assigned

Mar 2, 2007

Last updated

Nov 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpema198387@direct.osumc.edu

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice of Central Ohio

  • Community Based Hospice Care Agency
  • Newark, OH
  • NPI 1881693125

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospice of Central Ohio

  dba Palliative Care of Central Ohio

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newark, OH
  • NPI 1265532246
  Medicare reassignment NPD
• Pure Healthcare LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dayton, OH
  • NPI 1619115045
  Medicare reassignment NPD
• The Hospice of Dayton, Inc.

  • Community Based Hospice Care Agency
  • Dayton, OH
  • NPI 1346220142
  Medicare reassignment NPD
• Hospice of Central Ohio

  • Community Based Hospice Care Agency
  • Newark, OH
  • NPI 1881693125
  NPD
• Lifecare Hospice

  • Community Based Hospice Care Agency
  • Wooster, OH
  • NPI 1477540284
  NPD (past)
• Regional Medical Associates, Inc.

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1720165293
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1114056793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MURRAY HILL ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281524",
            "telephone_number": "614-878-6413",
            "fax_number": "614-878-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MURRAY HILL ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281524",
            "telephone_number": "614-878-6413",
            "fax_number": "614-878-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMA",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012986",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Peltier
• Nicholas Carlyle Pelz, DO
• Julie Loewen Pelzmann, LPCC
• Ann E Pema, MD
• Caroline Pema, PA-C
• Peter Pema, MD
• Peter James Pema Jr., DO
• Robert S. Pema, D.O.
• Tyler James Pemberton, QMHS
• Ana Lucia Pena, LSW

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.