Individual provider Active NPI

Edwin Colon, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Port Richey, FL
National Provider Identifier
1891742227
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME0056685 Issued in FL
Practice address
8819 River Crossing Blvd
New Port Richey, FL 34655
Phone
(727) 834-8833
Fax
(727) 834-8842
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME0056685 FL Primary

Addresses

Primary practice location

8819 River Crossing Blvd
New Port Richey, FL 34655

Mailing address

PO Box 99
Dade City, FL 33526-0099
Phone (352) 567-4117

Other identifiers 1

IdentifierTypeStateIssuer
054430200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060227000016 FL Practitioner - AnesthesiologyPractitioner - Pain Management 5890700967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Wisconsin School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edwin Colon MD PAGroup PAC ID 4183630437, 3 clinicians

Practice addresses (Care Compare)

36739 County Rd
52 Suite 102
Dade City, FL 33525-5101
Phone (888) 331-3453

Hospital & facility affiliations

  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056685FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edwin Colon MD PA Pain Medicine CurrentSince Dec 1, 2005 Accepting new patients
Clinic Surgery Center, LLC PastSince Aug 26, 2009 Accepting new patients
Bay Area Pain Management Center Past Accepting new patients
Comprehensive Pain Management Partners LLP Pain Medicine Past Accepting new patients
Edwin Colon, MD PA Past Accepting new patients

Locations

36739 County Road 52
Ste 102
Dade City, FL 33525
Phone (888) 331-3453

2921 Duff Rd
Lakeland, FL 33810
Phone (888) 331-3453

8819 River Crossing Blvd
New Prt Rchy, FL 34655
Phone (727) 834-8833

37922 Daughtery Rd
Zephyrhills, FL 33541
Phone (813) 395-6976

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1891742227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335260099",
            "telephone_number": "352-567-4117",
            "fax_number": "352-567-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 RIVER CROSSING BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-834-8833",
            "fax_number": "727-834-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME0056685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054430200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.