Active NPI
Rona Heublum-Colton, MD
- Internal Medicine Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME147168
- Practice address
- 350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733 - Phone
- (386) 238-3221
- Fax
- (386) 238-3235
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME147168 | FL | Primary |
Addresses
Primary practice location
350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Mailing address
350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME147168 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Florida Health Care Plan, Inc | Current | Accepting new patients | |
| Florida Health Care Plan, Inc | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Internal Medicine | Past | Accepting new patients |
Locations
350 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 238-3200
740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000
600 Westage Business Ctr Dr
#D
Fishkill, NY 12524
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
Philadelphia, PA 19195
Organizations & group practices 5
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.
-
- Preferred Provider Organization
- Daytona Beach, FL
- NPI 1558302042
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Ambulatory Surgical Clinic/Center
- Orange City, FL
- NPI 1659759827
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1578556502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142733",
"telephone_number": "386-238-3221",
"fax_number": "386-238-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEUBLUM-COLTON",
"first_name": "RONA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME147168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.