Individual provider Active NPI

Douglas R Colkitt, M.D.

  • Radiation Oncology Physician
  • Lehighton, PA
National Provider Identifier
1619190238
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD026294E Issued in PA
Practice address
800 Mahoning St
Lehighton, PA 18235-1246
Phone
(484) 464-4673
NPI assigned
Apr 11, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD026294E PA Primary
Hospice and Palliative Medicine (Radiology) Physician 2085H0002X MD026294E PA

Addresses

Primary practice location

800 Mahoning St
Lehighton, PA 18235-1246

Mailing address

800 Mahoning St
Lehighton, PA 18235-1246
Phone (484) 464-4673

Other practice location 1

176 Timbersprings Dr
Indiana, PA 15701-3564
Phone (724) 463-3570

Other practice location 2

6475 Carlisle Pike
Mechanicsburg, PA 17050-2385
Phone (717) 766-7693

Other practice location 3

176 Timbersprings Dr
Indiana, PA 15701-3564
Phone (724) 463-3570

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

LicenseStateTypeSpecialty
MD026294EPAMDHospice and Palliative Medicine (Radiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Pennsylvania Radiation Oncology, PC Radiation Oncology CurrentSince Jun 2, 2014 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Jun 2, 2018 Accepting new patients

Locations

6475 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 766-7693

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619190238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAHONING ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351246",
            "telephone_number": "484-464-4673",
            "fax_number": "484-464-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAHONING ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351246",
            "telephone_number": "484-464-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Timbersprings Dr",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013564",
            "country_code": "US",
            "telephone_number": "724-463-3570",
            "fax_number": "724-463-3569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6475 Carlisle Pike",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170502385",
            "country_code": "US",
            "telephone_number": "717-766-7693",
            "fax_number": "717-795-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 Timbersprings Dr",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013564",
            "country_code": "US",
            "telephone_number": "724-463-3570",
            "fax_number": "724-463-3569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLKITT",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD026294E",
            "primary": true
        },
        {
            "code": "2085H0002X",
            "taxonomy_group": "",
            "desc": "Radiology, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "MD026294E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.