NPIMap

Individual provider Active NPI

Colin Wilfred Deford, D.O.

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1780971655
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05193 Issued in IA
Practice address
4006 Johnathan St Ste B
Waterloo, IA 50701-9395
Phone
(319) 233-1540
NPI assigned
Jun 29, 2011
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6659 NE
Family Medicine Physician 207Q00000X DO-05193 IA Primary

Addresses

Primary practice location

4006 Johnathan St Ste B
Waterloo, IA 50701-9395

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717000120 IA Practitioner - Family Practice 9234413162 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services Ia PCGroup PAC ID 2466826102, 130 clinicians
Curana Health of Iowa PLLCGroup PAC ID 9133536113, 152 clinicians

Practice addresses (Care Compare)

444 N W View Dr
Osceola, IA 50213-8267
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6659NEMDGeneral Practice Dentistry
DO-05193IAMDFamily Medicine Physician
1100NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center CurrentSince Jul 9, 2018 Accepting new patients
Waverly Health Center CurrentSince Jul 9, 2018 Accepting new patients
Waverly Health Center Family Medicine CurrentSince Jul 9, 2018 Accepting new patients
Curana Health of Iowa PLLC CurrentSince Jan 28, 2025 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
CH Specialty Services Ia PC CurrentSince Jan 28, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

200 16th Ave E
Spc Care
Albia, IA 52531

202 Wildcat Way
Janesville, IA 50647
Phone (319) 987-2361

80 Amherst Blvd
Ste 400
Nashua, IA 50658
Phone (641) 435-4133

444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061

444 N West View Dr
Spc Care
Osceola, IA 50213

1001 Mason Way
Shell Rock, IA 50670
Phone (319) 885-6530

100 Wartburg Blvd
Ste 1392
Waverly, IA 50677
Phone (319) 346-9783

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

312 9th St SW
Ste 2300
Waverly, IA 50677
Phone (319) 483-1390

312 9th St SW
Ste 3300
Waverly, IA 50677
Phone (319) 483-1400

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Village of AckleyAckley, IA, CCN 165443 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2025
Apr 24, 2026
Colonial Manor of ElmaElma, IA, CCN 165386 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025
Grandview Healthcare CenterOelwein, IA, CCN 165340 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 18, 2025
Aug 18, 2025
Rehabilitation Centers of Independence West CampusIndependence, IA, CCN 165303 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Ams Memorial-GreeneGreene, IA, CCN 165356 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1780971655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 JOHNATHAN ST STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019395",
            "telephone_number": "319-233-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORD",
        "first_name": "COLIN",
        "middle_name": "WILFRED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "6659",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.