Colleen Opremcak, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35049765 Issued in OH

Practice address

146 Parkdale Dr
West Jefferson, OH 43162-1043

Phone

(614) 566-4318

Fax

(614) 566-1718

NPI assigned

Oct 31, 2005

Last updated

Feb 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1396736237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 PARKDALE DR",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621043",
            "telephone_number": "614-566-4318",
            "fax_number": "614-566-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PARKDALE DR",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621043",
            "telephone_number": "614-566-4318",
            "fax_number": "614-566-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPREMCAK",
        "first_name": "COLLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35049765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930194",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in West Jefferson, OH
• Providers in West Jefferson, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.