Individual provider Active NPI

Colleen M Lennard, M.D.

  • Otolaryngology Physician
  • Grants Pass, OR
National Provider Identifier
1316913197
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD164331 Issued in OR
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

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address colleenlennard-love@sjhhandhmg.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061228000432 CA Practitioner - Otolaryngology 9739189507 Reassigns benefits to 1 organization
I20131007000661 OR Practitioner - Otolaryngology 9739189507 Reassigns benefits to 2 organizations

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
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

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

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Nov 18, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Oct 16, 2017 Accepting new patients
Centennial Medical Group Inc. CurrentSince Aug 1, 2022 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 18, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Oct 16, 2017 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. PastSince Sep 27, 2020 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.