Individual provider Active NPI

William R Colyer Jr., M.D.

  • Interventional Cardiology Physician
  • Toledo, OH
National Provider Identifier
1679567119
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35080843 Issued in OH
Practice address
2940 N McCord Rd
Toledo, OH 43615-1753
Phone
(419) 842-3000
Fax
(419) 291-9883
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35080843 OH
Interventional Cardiology Physician 207RI0011X 35080843 OH Primary

Addresses

Primary practice location

2940 N McCord Rd
Toledo, OH 43615-1753

Mailing address

1250 Ralston Ave
Suite 203a
Defiance, OH 43512-5311
Phone (419) 783-6895

Other identifiers 1

IdentifierTypeStateIssuer
2317700MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wcolyer13163@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040301001079 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9739076134 Reassigns benefits to 3 organizations
I20200316002675 MI Practitioner - Cardiovascular Disease (Cardiology) 9739076134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Toledo College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Northwest Ohio Cardiology Consultants LLCGroup PAC ID 4981752938, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

2940 N McCord Rd
Suite 100
Toledo, OH 43615-1753
Phone (419) 842-3000

730 N Macomb St
Suite 228
Monroe, MI 48162-3087
Phone (734) 242-7060

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Henry County Hospital, Inc Hospital, Napoleon, OH, CCN 361309
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35080843OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jul 14, 2014 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Jul 14, 2014 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Jul 1, 2014 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
The Toledo Hospital CurrentSince Aug 27, 2020 Accepting new patients
The Toledo Hospital CurrentSince Aug 27, 2020 Accepting new patients
Bellevue Professional Services, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

770 Riverside Ave
Ste 106
Adrian, MI 49221
Phone (517) 266-0525

730 N Macomb St
Monroe, MI 48162
Phone (734) 240-1760

730 N Macomb St
Ste 228
Monroe, MI 48162
Phone (734) 242-7060

1250 Ralston Ave
Ste 203A
Defiance, OH 43512
Phone (419) 782-6895

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2940 N McCord Rd
#100
Toledo, OH 43615
Phone (419) 842-3000

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • Direct secure messaging: wcolyer13163@direct.promedica.org
  • Direct secure messaging: wcolyer657618@direct.bsmhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1679567119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 RALSTON AVE",
            "address_2": "SUITE 203A",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435125311",
            "telephone_number": "419-783-6895",
            "fax_number": "419-782-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N MCCORD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151753",
            "telephone_number": "419-842-3000",
            "fax_number": "419-291-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLYER",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35080843",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35080843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317700",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wcolyer13163@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.