NPIMap

Individual provider Active NPI

Anthony James Colantonio, MD

  • Pain Medicine (Anesthesiology) Physician
  • Meadville, PA
National Provider Identifier
1174564504
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD421359 Issued in PA
Practice address
1034 Grove Street
Meadville, PA 16335-2945
Phone
(814) 333-5736
Fax
(814) 333-5819
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD421359 PA Primary

Addresses

Primary practice location

1034 Grove Street
Meadville, PA 16335-2945

Mailing address

1034 Grove Street
Meadville, PA 16335-2945
Phone (814) 333-5729

Other identifiers 4

IdentifierTypeStateIssuer
0019660890002MedicaidPA
320575OtherPAUPMC HEALTH PLAN
01477976OtherPAHIGHMARK BLUE SHIELD
0019660980002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000949 PA Practitioner - Pain ManagementPractitioner - Interventional Pain Management 6305838343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Georgetown University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5736

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD421359PAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center Pain Medicine CurrentSince May 23, 2017 Accepting new patients
Meadville Medical Center CurrentSince May 23, 2017 Accepting new patients
French Creek Pain Management,PC Pain Medicine Past Accepting new patients
Meadville Medical Center Past Accepting new patients
Windber Hospital, Inc. Pain Medicine Past Accepting new patients

Locations

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

1034 Grove St
Spc Pain
Meadville, PA 16335
Phone (814) 333-5736

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

Interoperability endpoints

  • Direct secure messaging: anthony.j.colantonio@directaddress.net

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1174564504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE STREET",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5729",
            "fax_number": "814-333-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 GROVE STREET",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5736",
            "fax_number": "814-333-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANTONIO",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD421359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019660890002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "320575",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "01477976",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019660980002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.