Athos Gabriel Colon, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

K0690 Issued in TX

Practice address

3602 23Rd St
Lubbock, TX 79410-1326

Phone

(806) 368-8723

Fax

(806) 368-8724

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Athos Gabriel Colon - Ledee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Athos G Colon MD PA

  • Pediatric Cardiology Physician
  • Lubbock, TX
  • NPI 1316143597
  NPD Authorized official
• Sham S. Gandhi PHD MD PA

  • Specialist
  • Lubbock, TX
  • NPI 1215265616
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1477551273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 94TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245016",
            "telephone_number": "806-791-5913",
            "fax_number": "806-791-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101326",
            "telephone_number": "806-368-8723",
            "fax_number": "806-368-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ATHOS",
        "middle_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "K0690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J1658",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137294812",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATHOS",
            "last_name": "COLON - LEDEE",
            "middle_name": "GABRIEL",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher J. Collins, M.D.
• Katricia Collins, M.S., CCC-SLP
• Kristie Collins, LPC, LMFT
• Lindsey Collins
• Nannette Marie Colon Diaz, MD
• Tamie Coltharp, FNP
• Robert Colvard, RPH
• Colvin Pain Management PLLC
• Jeffrey N Colvin, M.D.
• Steven Hiram Combs, MD

• Pediatric Cardiology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.