David S. Collom, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2997 Issued in FL

Practice address

701 Enterprise Rd E
Suite 910
Safety Harbor, FL 34695-5350

Phone

(727) 796-6900

Fax

(727) 669-8417

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• KG Health Partners, Inc

  • Podiatrist
  • Clearwater, FL
  • NPI 1487654042
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1174545388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ENTERPRISE RD E",
            "address_2": "SUITE 910",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955350",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ENTERPRISE RD E",
            "address_2": "SUITE 910",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955350",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLOM",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2997",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO2997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65787",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Medical Devices, Inc
• Coastline Emergency Physicians LLC
• Jon Cobb, MD
• Francis Conrad Cole, PHD
• Michelle L Coleman
• Paula Denise Comellas
• Rachel Comer, PHARM.D.
• Adria Ann Condino, DO
• Connections Pediatric Therapies, LLC
• Patricia Ann Conway, OTR

• Podiatrist in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.