Organization Active NPI

Edwin Colon, MD PA

Doing business as Invasive Pain Management Clini

  • Specialist
  • Wesley Chapel, FL
National Provider Identifier
1255640603
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME56685 Issued in FL
Legal business name
EDWIN COLON, MD PA
Doing business as
Invasive Pain Management Clini
Practice address
2407 Cypress Ridge Blvd
Wesley Chapel, FL 33544-6312
Phone
(813) 907-3300
Fax
(813) 907-3111
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mrs. Tara De la Cruz
Title
Billing/Credentialing
Phone
(813) 929-3609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME56685 FL Primary

Addresses

Primary practice location

2407 Cypress Ridge Blvd
Wesley Chapel, FL 33544-6312

Mailing address

PO Box 99
Dade City, FL 33526-0099
Phone (813) 929-3609

Other names 1

  • Invasive Pain Management Clini Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edwin Colon MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1255640603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335260099",
            "telephone_number": "813-929-3609",
            "fax_number": "813-907-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 CYPRESS RIDGE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446312",
            "telephone_number": "813-907-3300",
            "fax_number": "813-907-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN COLON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "813-929-3609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME56685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invasive Pain Management Clini",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.