Jeannette Colon, M.D., P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01075122A Issued in IN

Legal business name

JEANNETTE COLON, M.D., P.C.

Practice address

401 Wall St Unit a
Valparaiso, IN 46383-2585

Phone

(219) 707-5772

Fax

(219) 707-5758

NPI assigned

Feb 5, 2018

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeannette Elise Colon-Marin, MDNPI 1760673107

Title

President

Phone

(787) 509-5218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeannette Elise Colon-Marin, M.D.

  • Obstetrics & Gynecology Physician
  • Valparaiso, IN
  • NPI 1760673107
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1225537319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WALL ST UNIT A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832585",
            "telephone_number": "219-707-5772",
            "fax_number": "219-707-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WALL ST UNIT A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832585",
            "telephone_number": "219-707-5772",
            "fax_number": "219-707-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE COLON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "COLON-MARIN",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-509-5218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01075122A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.