Individual provider Active NPI

Douglas Colson, M.D.

  • Otolaryngology Physician
  • Midland, TX
National Provider Identifier
1790767119
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R7968 Issued in TX
Practice address
4214 Andrews Hwy Ste 103
Midland, TX 79703-4815
Phone
(432) 221-1301
Fax
(432) 221-1307
NPI assigned
Nov 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 223913 MA
Otolaryngology Physician 207Y00000X R7968 TX Primary

Addresses

Primary practice location

4214 Andrews Hwy Ste 103
Midland, TX 79703-4815

Mailing address

4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 686-6600

Other identifiers 4

IdentifierTypeStateIssuer
007059420OtherRIMEDICARE #
679507OtherTXTX MEDICARE
2102803MedicaidMA
1790767MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address douglas.colson.1@3522.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180717000507 TX Practitioner - Otolaryngology 6103865654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Practice addresses (Care Compare)

4214 Andrews Hwy
Suite 103
Midland, TX 79703-4815
Phone (432) 221-1522

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223913MAMDOtolaryngology Physician
R7968TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care I, Inc CurrentSince Jul 1, 2018 Accepting new patients
Premier Physicians Past Accepting new patients
Umass Memorial Medical Group Inc Otolaryngology Past Accepting new patients

Locations

4214 Andrews Hwy
Ste 240
Midland, TX 79703
Phone (432) 686-6605

4214 Andrews Hwy
Ste 205
Midland, TX 79703
Phone (432) 221-1301

4214 Andrews Hwy
Ste 103
Midland, TX 79703
Phone (432) 221-1301

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Interoperability endpoints

  • Direct secure messaging: douglas.colson.1@3522.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1790767119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034817",
            "telephone_number": "432-686-6600",
            "fax_number": "432-682-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 103",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034815",
            "telephone_number": "432-221-1301",
            "fax_number": "432-221-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSON",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "223913",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "R7968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "007059420",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICARE",
            "identifier": "679507",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102803",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790767",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "douglas.colson.1@3522.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4214 Andrews Hwy Ste 205",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797034822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.