Active NPI
Colby Lee Edwards, D.O.
- Emergency Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4400
- Practice address
- 4200 S Douglas Ave Ste 306
Ismc Emergency Medicine
Oklahoma City, OK 73109-3215 - Phone
- (405) 636-7195
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 4400 | OK | Primary |
Addresses
Primary practice location
4200 S Douglas Ave Ste 306
Ismc Emergency Medicine
Oklahoma City, OK 73109-3215
Mailing address
1212 Mary Lee LN
Edmond, OK 73034-5427
Phone (405) 471-6112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4400 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Mid-America, P.C. | Emergency Medicine | Current | Accepting new patients |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Oklahoma Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1114239795
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1114093655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 MARY LEE LN",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345427",
"telephone_number": "405-471-6112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 S DOUGLAS AVE STE 306",
"address_2": "ISMC EMERGENCY MEDICINE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093215",
"telephone_number": "405-636-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "COLBY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "4400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.