Elizabeth Ann Colvin, D.O.
Individual provider Active NPI Pediatrics Physician · Zeeland, MI
NPI 1881007409 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1881007409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 5101028304 (MI)
- Practice address
- 8333 Felch St Ste 200
Zeeland, MI 49464-2609 - Phone
- (616) 748-2850
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190606000292 | CO | Practitioner - Pediatric Medicine | 5991923021 | Reassigns benefits to 1 organization |
| I20241017000537 | MI | Practitioner - Pediatric Medicine | 5991923021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Honorhealth | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current |
Accepting new patients |
Locations
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
7301 E 2nd St
Ste 210
Scottsdale, AZ 85251
Phone (480) 534-4515
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
2610 Tenderfoot Hill St
Colorado Springs, CO 80906
Phone (719) 576-3901
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
8333 Felch St
Ste 200
Zeeland, MI 49464
Phone (616) 748-2850
Interoperability endpoints
- ecolvin2715197@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101028304 | MI | Yes |
Addresses
Primary practice location
8333 Felch St Ste 200
Zeeland, MI 49464-2609
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ecolvin2715197@epic00.corewelldirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/ |
Other providers in Zeeland, MI
- Brittany Marie Cline
- Gary Hayes Coller
- Lilliana G Collins
- Grace Louise Colson
- Abigail Colvin
- Sarah Colvin
- Comfort Family Dentistry of Zeeland
- Compression Care Inc
- Olivia M Cook
- Jamie Lynn Curtis
All providers in Zeeland, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.