Colene Marie Calo, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2018-02899 Issued in NC

Practice address

9604 Holly Point Dr
Huntersville, NC 28078-4913

Phone

(704) 316-5070

Fax

(704) 316-5075

NPI assigned

May 25, 2006

Last updated

Dec 4, 2018By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Blue Skies Dermatology

  • Dermatology Physician
  • Saint Clair Shores, MI
  • NPI 1104090794
  NPD (past) Authorized official
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology And Cosmetic Surgery

  • Dermatology Physician
  • Heathrow, FL
  • NPI 1528097284
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1396790317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-5070",
            "fax_number": "704-316-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 HOLLY POINT DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784913",
            "telephone_number": "704-316-5070",
            "fax_number": "704-316-5075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Royal Palm Pt",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329604295",
            "country_code": "US",
            "telephone_number": "772-569-5056",
            "fax_number": "772-562-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALO",
        "first_name": "COLENE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS13448",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2018-02899",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "5101012868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "5500270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie L Callan, CRNA
• Capathyia S Callaway
• Aimee Calleja
• Callisto Pediatrics, PLLC
• Calm Blue Waters Counseling, PLLC (Calm Blue Waters Counseling)
• Susana Analia Camarasa, MS
• Cami Surgery Center, PLLC
• Dennis Campbell, PTA
• Elaine Lao Campbell, D.O.
• Scotty J Campbell, CRNA

• Dermatology Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.