Active NPI
Edwin Colon MD PA
- Pain Medicine Physician
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME56685
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edwin Colon, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | ME966525 | FL | |
| Pain Medicine Physician | 208VP0000X | ME56685 | FL | Primary |
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09881 | Other | FL | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Edwin Colon MD PA
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- New Port Richey, FL
- NPI 1891742227
-
- Interventional Pain Medicine Physician
- Lakeland, FL
- NPI 1750720025
-
- Interventional Pain Medicine Physician
- Dade City, FL
- NPI 1861886426
-
- Nurse Practitioner
- Wesley Chapel, FL
- NPI 1831761907
-
- Acute Care Nurse Practitioner
- New Port Richey, FL
- NPI 1275299778
-
- Allergy & Immunology Physician
- Wesley Chapel, FL
- NPI 1437274701
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.