Active NPI
Edwin Colon, MD PA
Doing business as Invasive Pain Management Clini
- Specialist
- Wesley Chapel, FL
National Provider Identifier
1255640603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME56685
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider Directory- Tax ID family
- Edwin Colon MD PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine Physician
- New Port Richey, FL
- NPI 1326235672
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.