Organization Active NPI

Edwin Colon MD PA

  • Pain Medicine Physician
  • New Port Richey, FL
National Provider Identifier
1326235672
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME56685 Issued in FL
Legal business name
EDWIN COLON MD PA
Practice address
8819 River Crossing Blvd
New Port Richey, FL 34655-5132
Phone
(727) 384-8833
Fax
(727) 834-8842
NPI assigned
Oct 1, 2007
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Edwin Colon, MDNPI 1891742227
Title
Owner
Phone
(727) 834-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X ME966525 FL
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X ME56685 FL Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X ARNP1363142 FL

Addresses

Primary practice location

8819 River Crossing Blvd
New Port Richey, FL 34655-5132

Mailing address

PO Box 99
Dade City, FL 33526-0099

Other identifiers 1

IdentifierTypeStateIssuer
09881OtherFLWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060224000095 FL Part B Supplier - Clinic/Group Practice 4183630437 Receives reassigned benefits from 5 practitioners
Practice locations: Dade City, FL; Zephyrhills, FL; Lakeland, FL
O20110212000127 FL DME Supplier - Physician - Interventional Pain Management 4183630437 Practice locations: Dade City, FL

National Provider Directory

National Provider Directory
Tax ID family
Edwin Colon MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

36739 County Road 52
Dade City, FL 33525

36739 County Road 52
Ste 102
Dade City, FL 33525
Phone (888) 331-3453

8819 River Crossing Blvd
New Prt Rchy, FL 34655
Phone (727) 834-8833

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1326235672",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 RIVER CROSSING BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555132",
            "telephone_number": "727-384-8833",
            "fax_number": "727-834-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN COLON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-834-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME966525",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME56685",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1363142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "09881",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.