Individual provider Active NPI

Marion F Colas-Lacombe, M.D.

  • Obstetrics & Gynecology Physician
  • Plantation, FL
National Provider Identifier
1346282670
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME95595 Issued in FL
Practice address
201 NW 82ND Ave Ste 104
Plantation, FL 33324-1853
Phone
(954) 472-2201
Fax
(954) 472-2501
NPI assigned
Jun 12, 2006
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME95595 FL Primary

Addresses

Primary practice location

201 NW 82ND Ave Ste 104
Plantation, FL 33324-1853

Mailing address

201 NW 82ND Ave Ste 104
Plantation, FL 33324-1853
Phone (954) 472-2201

Other identifiers 1

IdentifierTypeStateIssuer
ME95595OtherFLMEDICAL LISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000216 FL Practitioner - Obstetrics/Gynecology 4183721483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

201 NW 82ND Ave
104 Plantation Gynecologic Associates
Plantation, FL 33324-1853
Phone (954) 472-2201

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Aug 1, 2006 Accepting new patients

Locations

4100 Hollywood Blvd
Ste 2
Hollywood, FL 33021
Phone (954) 518-4100

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

201 NW 82nd Ave
Ste 104
Plantation, FL 33324
Phone (954) 472-2201

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1346282670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241853",
            "telephone_number": "954-472-2201",
            "fax_number": "954-472-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241853",
            "telephone_number": "954-472-2201",
            "fax_number": "954-472-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAS-LACOMBE",
        "first_name": "MARION",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME95595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISCENSE",
            "identifier": "ME95595",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.