Carlon M Colker, M.D.

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

034815 Issued in CT

Practice address

195 Field Point Rd
Greenwich, CT 06830-6441

Phone

(203) 625-9608

Fax

(203) 629-0589

NPI assigned

Apr 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 2, 2014 through Apr 2, 2028

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.

• Peak Wellness, Inc.

  • Clinic/Center
  • Greenwich, CT
  • NPI 1851088041
  NPD Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619194065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FIELD POINT RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306441",
            "telephone_number": "203-625-9608",
            "fax_number": "203-629-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FIELD POINT RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306441",
            "telephone_number": "203-625-9608",
            "fax_number": "203-629-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLKER",
        "first_name": "CARLON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CT",
            "license": "034815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Cody, M.D.
• Cognitive and Behavioral Care Center, LLC
• Erik Louis Cohen, MD
• Gerald L Cohen, D.D.S.
• Donna E Coletti, MD
• Collaborative Home Care LLC
• Onalee Lucille Collins, DPT
• Melissa Colsant, P.A.
• Jorge Con, M.D.
• Concierge Medical Associates PLLC

• Sports Medicine (Preventive Medicine) Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Sports Medicine (Preventive Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.