Active NPI
Marvin L Colvin, D.O.
- Family Medicine Physician
- Cottonwood, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2771
- Practice address
- 753 N Main St
Ste. a
Cottonwood, AZ 86326-3649 - Phone
- (928) 634-7470
- Fax
- (928) 639-3280
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO2771 | AZ | Primary |
Addresses
Primary practice location
753 N Main St
Ste. a
Cottonwood, AZ 86326-3649
Mailing address
753 N Main St
Ste. a
Cottonwood, AZ 86326-3649
Phone (928) 634-7470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111112 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
753 N Main St
Cottonwood, AZ 86326-3649
Phone (928) 634-7470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2771 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin L Colvin DO | Family Medicine | Current | Accepting new patients |
| NM Pacs 2 LLC | Hospitalist | Past | Accepting new patients |
| Family Medical Center | Past | Accepting new patients |
Locations
753 N Main St
Ste A
Cottonwood, AZ 86326
Phone (520) 634-7470
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/57966
- marvin.colvin@69592637964292.direct.elationemr.com
- https://fhir4.healow.com/fhir/r4/CHCFAD
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Cottonwood, AZ
- NPI 1659553139
-
- Rural Health Clinic/Center
- Fernley, NV
- NPI 1508003112
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1366928749
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1336146059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 N MAIN ST",
"address_2": "STE. A",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863263649",
"telephone_number": "928-634-7470",
"fax_number": "928-639-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 N MAIN ST",
"address_2": "STE. A",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863263649",
"telephone_number": "928-634-7470",
"fax_number": "928-639-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "MARVIN",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "DO2771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111112",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.