Jon Kolkin, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

24115 Issued in NC

Practice address

3404 Wake Forest Rd
Ste 303
Raleigh, NC 27609-7341

Phone

(919) 872-3171

Fax

(919) 872-6739

NPI assigned

May 31, 2005

Last updated

Nov 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• Raleigh Hand to Shoulder Center PA

  • Orthopaedic Hand Surgery Physician
  • Raleigh, NC
  • NPI 1558313478

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1467455832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 WAKE FOREST RD",
            "address_2": "SUITE 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097340",
            "telephone_number": "919-872-3171",
            "fax_number": "919-872-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 WAKE FOREST RD",
            "address_2": "STE 303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097341",
            "telephone_number": "919-872-3171",
            "fax_number": "919-872-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLKIN",
        "first_name": "JON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "24115",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NC",
            "license": "24115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902752",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Kolacz
• Rachel Noelle Kolb, LPA, LBA, BCBA, M.A.
• Rebecca Taylor Kolb, PT, DPT
• Morgan Elizabeth Kolba
• Julie Marie Kolis, PA-C
• Erin Jennifer Kolkman O'Connor, NP
• Danielle Rae Koman, DNP
• Abhay Komandur, PA
• Feissoribe Kombate, LPN
• David A Konanc, M.D.

• Orthopaedic Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.