Active NPI
Joseph A Colella, MD
- Surgery Physician
- Columbus, OH
National Provider Identifier
1548279607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35-03-9725-C
- Practice address
- 85 McNaughten Rd
Suite 130
Columbus, OH 43213-2174 - Phone
- (614) 522-0306
- NPI assigned
- Aug 7, 2006
- Last updated
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 46279 | WI | |
| Surgery Physician | 208600000X | 35-03-9725-C | OH | Primary |
| Surgery Physician | 208600000X | MD28836 | OR | |
| Vascular Surgery Physician | 2086S0129X | MD28836 | OR |
Addresses
Primary practice location
85 McNaughten Rd
Suite 130
Columbus, OH 43213-2174
Mailing address
397 Churchill Hubbard Rd
Youngstown, OH 44505-1375
Phone (330) 759-6750
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00834436 | Other | OR | MEDICARE RAILROAD |
| 500601756 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46279 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Afridi & Hageman Inc | Vascular Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Maumee, OH
- NPI 1568659266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1548279607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 CHURCHILL HUBBARD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051375",
"telephone_number": "330-759-6750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MCNAUGHTEN RD",
"address_2": "SUITE 130",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132174",
"telephone_number": "614-522-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLELLA",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "46279",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35-03-9725-C",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD28836",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OR",
"license": "MD28836",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "00834436",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500601756",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.