Timothy K. Colgan MD PA

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

TIMOTHY K. COLGAN MD PA

Practice address

3030 North St Ste 312
Beaumont, TX 77702-1434

Phone

(409) 236-4900

Fax

(409) 236-6490

NPI assigned

Oct 12, 2007

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carolee Cloud

Title

Office Manager

Phone

(409) 658-7748

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Jonathan Esclovon, MD

  • Interventional Cardiology Physician
  • San Antonio, TX
  • NPI 1770019549
  NPD (past)
• Gregory Lee Gilbreath, NP

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1265485486
  NPD (past)
• Amanda Minick Reneau, APN

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1205271434
  NPD (past)

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1437347614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4356 DEPT 2234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104356",
            "telephone_number": "409-236-4900",
            "fax_number": "409-236-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NORTH ST STE 312",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021434",
            "telephone_number": "409-236-4900",
            "fax_number": "409-236-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY K. COLGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "CAROLEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-658-7748",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146592401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrive Family Chiropractic and Nutrition, PLLC (Thrive Chiropractic and Regenerative Medicine)
• Sandy Thwin, MD
• Linda D Tice
• Jessica Tillman
• Garrett Landiss Timmerman II, R.PH.
• Elizabeth Tirawan, RPH
• TLC Transportation Services LLC (LLC)
• Roxanne Tolar, LCDC
• Casey Toohey
• Analia Linette Torres

• Interventional Cardiology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.