James R Colgan III, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2579 Issued in NV

Practice address

412 W John St
#1B
Carson City, NV 89703-8811

Phone

(775) 883-1030

Fax

(775) 883-4677

NPI assigned

Mar 5, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1639208457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W JOHN ST",
            "address_2": "#1B",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038811",
            "telephone_number": "775-883-1030",
            "fax_number": "775-883-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W JOHN ST",
            "address_2": "#1B",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038811",
            "telephone_number": "775-883-1030",
            "fax_number": "775-883-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGAN",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "2579",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "GFE15465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS NEVADA",
            "identifier": "CC9683",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Megan Cody, MA
• Maria Colato
• Dulce Colborn
• Jenny Lynn Cole, A.P.R.N.
• Renee Cole
• Collins Carson City Anesthesia LLC
• Collins Carson City Gastroenterology LTD
• Dale Lee Collins
• Jason M Collins, M.D.
• Scott Micheal Colvin

• Urology Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Urology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.