James Dwight Colleen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

5795 Issued in AZ

Practice address

6242 E Arbor Ave Ste 107
Mesa, AZ 85206-1309

Phone

(480) 897-8000

Fax

(480) 830-3690

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Obstetrics/Gynecology

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Women's Care Arizona, LLCGroup PAC ID 6103215322, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Women's Care Arizona, LLC

  • Obstetrics Physician
  • Phoenix, AZ
  • NPI 1942977624
  Medicare reassignment Care Compare group NPD
• Natural Hormone Treatment Center and Aesthetics LLC

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
  • NPI 1508500828
  NPD (past)
• Southeast Valley Obstetrics & Gynecology PLC

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
  • NPI 1427154442
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1265512073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748860",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741309",
            "telephone_number": "480-897-8000",
            "fax_number": "480-830-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 E ARBOR AVE STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061309",
            "telephone_number": "480-897-8000",
            "fax_number": "480-830-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1039 N Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013300",
            "country_code": "US",
            "telephone_number": "480-834-3484",
            "fax_number": "480-834-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLEEN",
        "first_name": "JAMES",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "5795",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "5795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "AZ0032440",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "252403",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z0551",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cole, OT
• Teri Renee Cole, RN
• Stephanie Colella, M.S. CCC-SLP
• Bridgette S Coleman
• James Park Coleman, PT
• College of Consent
• Joanna Colleran
• Clarissa Collier
• Jason S Collier, PA-C
• Leah Collier, N.D.

• Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.