Keith A Colomb, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD019858 Issued in LA

Practice address

200 Beaullieu Dr.
BLDG #5
Lafayette, LA 70508-0000

Phone

(337) 267-4336

Fax

(337) 267-4167

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcolomb1443266@direct.ochsner.org

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.

• Surgical Hospital Management System LLC

  • Surgery Physician
  • Lafayette, LA
  • NPI 1043595804
  Medicare reassignment NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1265401582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR.",
            "address_2": "BLDG #5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705080000",
            "telephone_number": "337-267-4336",
            "fax_number": "337-267-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAULLIEU DR.",
            "address_2": "BLDG #5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705080000",
            "telephone_number": "337-267-4336",
            "fax_number": "337-267-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMB",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD019858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1388122",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Collins
• Ondria Collins
• Shawana Collins
• Ryan H Collura, L.A.T.
• April Nicole Colomb
• Colonel Joseph George & Saida Saloom Hannie Community Home, Inc.
• Candace Jeanine Comeaux
• Donna F Comeaux, CRNA
• Jason R Comeaux, PA-C
• Jerrick Comeaux, M.A., BCBA, LBA

• Surgery Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.