Active NPI
Colleen M Lennard, M.D.
- Otolaryngology Physician
- Grants Pass, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD164331
- Practice address
- 537 Union Ave FL 2
Grants Pass, OR 97527-5543 - Phone
- (541) 507-2150
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A64328 | CA | |
| Otolaryngology Physician | 207Y00000X | MD164331 | OR | Primary |
Addresses
Primary practice location
537 Union Ave FL 2
Grants Pass, OR 97527-5543
Mailing address
537 Union Ave FL 2
Grants Pass, OR 97527-5543
Phone (541) 507-2150
Other practice location 1
815 NW 9th St
Suite 110
Corvallis, OR 97330-9904
Phone (541) 768-6766
Other practice location 2
815 NW 9th St
Suite 110
Corvallis, OR 97330-9904
Phone (541) 768-6766
Other practice location 3
2350 Buhne St Ste C
Eureka, CA 95501-3205
Phone (707) 444-8803
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | colleenlennard-love@sjhhandhmg.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Drexel University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 W Ctr St Promenade
Anaheim, CA 92805-3960
2576 Renfrew St
Eureka, CA 95501-3345
Phone (707) 445-3527
2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121
2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060
2773 Harris St
Eureka, CA 95503-4866
3000 Bryant Williams Dr
Klamath Falls, OR 97601-1139
Phone (541) 274-3000
3300 Renner Dr
Fortuna, CA 95540-3120
Phone (707) 725-3361
3307 Renner Dr
Fortuna, CA 95540-3119
Phone (714) 449-4800
500 Doyle Park Dr
Santa Rosa, CA 95405-4559
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Centennial Medical Group Inc. | Current | Accepting new patients | |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Lodi Plaza Head & Neck Medical Assoc Inc | Otolaryngology | Past | Accepting new patients |
| Sutter North Medical Foundatoin | Past | Accepting new patients | |
| Centennial Medical Group Inc. | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
2773 Harris St
Ste B
Eureka, CA 95503
Phone (707) 443-3354
2350 Buhne St
Ste C
Eureka, CA 95501
Phone (707) 444-8803
3307 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6108
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221
3000 Bryant Williams Dr
Klamath Falls, OR 97601
Phone (541) 274-2345
3000 Bryant Williams Dr
Ste 1
Klamath Falls, OR 97601
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Surgery Physician
- Roseburg, OR
- NPI 1518103274
-
dba Sky Lakes Specialty Pharmacy
- Community/Retail Pharmacy
- Klamath Falls, OR
- NPI 1003654625
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1740584473
-
dba Centennial Shaw Heart & Vascular Specialists
- Cardiovascular Disease Physician
- Roseburg, OR
- NPI 1033365135
-
- Otolaryngology Physician
- Lodi, CA
- NPI 1669405668
-
- Durable Medical Equipment & Medical Supplies
- Yuba City, CA
- NPI 1851437388
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Klamath Falls, OR
- NPI 1659340370
-
dba Providence Humboldt Home Infusion
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1316913197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 UNION AVE FL 2",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275543",
"telephone_number": "541-507-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 UNION AVE FL 2",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275543",
"telephone_number": "541-507-2150"
}
],
"practiceLocations": [
{
"address_1": "815 NW 9th St",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973309904",
"country_code": "US",
"telephone_number": "541-768-6766",
"fax_number": "541-768-6774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 NW 9th St",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973309904",
"country_code": "US",
"telephone_number": "541-768-6766",
"fax_number": "541-768-6774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2350 Buhne St Ste C",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955013205",
"country_code": "US",
"telephone_number": "707-444-8803",
"fax_number": "707-444-9496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENNARD",
"first_name": "COLLEEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A64328",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OR",
"license": "MD164331",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "colleenlennard-love@sjhhandhmg.allscriptsdirect.net",
"affiliation": "N",
"address_1": "2350 Buhne St Ste C",
"city": "Eureka",
"state": "CA",
"country_code": "US",
"postal_code": "955013205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.