John Owne Colonna II, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

0101049364 Issued in VA

Practice address

600 Gresham Dr Ste 8620
Norfolk, VA 23507-1904

Phone

(757) 395-1600

Fax

(757) 625-0433

NPI assigned

Feb 1, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270

  Vascular Surgery

  Medicare reassignment NPD
• Vascular Access Services PLLC

  • Vascular Surgery Physician
  • Virginia Beach, VA
  • NPI 1548217243
  Medicare reassignment NPD
• Mandell Retina Center PC

  • Retina Specialist (Ophthalmology) Physician
  • Virginia Beach, VA
  • NPI 1861525305
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1457323800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8620",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-395-1600",
            "fax_number": "757-625-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8620",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-395-1600",
            "fax_number": "757-625-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "397 Little Neck Rd",
            "address_2": "3300 South Bldg Ste 100",
            "address_purpose": "LOCATION",
            "city": "VA Beach",
            "state": "VA",
            "postal_code": "23452",
            "country_code": "US",
            "telephone_number": "757-470-5570",
            "fax_number": "757-961-9359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLONNA",
        "first_name": "JOHN",
        "middle_name": "OWNE",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101049364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "770003097",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7313152",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Collins
• Jimmie Nelson Collins, MD
• Monae Collins
• Patrizia J Colmenares, OD
• Ashley W Colon
• Mellanda Yvonne Colson Scott, D.D.S.
• Amy Linnae Colwell, MD
• Andra Silvina Comaniciu, M.D.
• Naomi Carroll Comer, F.N.P.
• Commitment to Excellence

• Vascular Surgery Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.