Jeremy Colgan, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA052820 Issued in PA

Practice address

1106 Bigler Ave
Northern Cambria, PA 15714-0776

Phone

(814) 948-4560

Fax

(814) 420-8010

NPI assigned

Nov 30, 2006

Last updated

Sep 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jeremy.colgan.2@2444.direct.athenahealth.com

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.

• Northern Cambria Medical Center - William Paronish MD Inc

  • Family Medicine Physician
  • Northern Cambria, PA
  • NPI 1528445327
  Medicare reassignment
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1235206574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157140776",
            "telephone_number": "814-948-4560",
            "fax_number": "814-420-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 BIGLER AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157140776",
            "telephone_number": "814-948-4560",
            "fax_number": "814-420-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "JEREMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA052820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Lyn Bakaysa, PHARMD
• Debra Baker
• Lucas T Bradley, DPT, ATC
• Sandra Ann Brzezinski, MD
• Cambria Family Practice LLC
• Community Guidance Center
• Conemaugh Health Initiatives (John M Vasil DO Laboratory)
• Conemaugh Health Initiatives (CHI John Vasil DO)
• Conemaugh Health Initiatives
• Amber Corio, FNP

• Family Medicine Physician in Northern Cambria, PA
• Providers in Northern Cambria, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.

Verify at the official NPI Registry.