Organization Active NPI

Colony Medical Group PC

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1811077928
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLONY MEDICAL GROUP PC
Practice address
125 Colony Drive North
Saginaw, MI 48638-7101
Phone
(989) 790-0070
Fax
(989) 249-0449
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Eugene Adam Calabrese Jr., DO
Title
President
Phone
(989) 790-0070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

125 Colony Drive North
Saginaw, MI 48638-7101

Mailing address

125 Colony Drive North
Saginaw, MI 48638-7101
Phone (989) 790-0070

National Provider Directory

National Provider Directory

Locations

125 N Colony Dr
Saginaw, MI 48638
Phone (517) 790-0070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1811077928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COLONY DRIVE NORTH",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387101",
            "telephone_number": "989-790-0070",
            "fax_number": "989-249-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COLONY DRIVE NORTH",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486387101",
            "telephone_number": "989-790-0070",
            "fax_number": "989-249-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "CALABRESE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-790-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.