David Lee Colgrove, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

01069760A Issued in IN

Practice address

1225 E Coolspring Ave
Suite 300
Michigan City, IN 46360-6312

Phone

(219) 878-5032

Fax

(219) 861-8151

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Galesburg Clinic PC

  • Specialist
  • Galesburg, IL
  • NPI 1972614808
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1891855680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437240",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E COOLSPRING AVE",
            "address_2": "SUITE 300",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606312",
            "telephone_number": "219-878-5032",
            "fax_number": "219-861-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGROVE",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01069760A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201024240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Cloyd, PHARMD
• John Douglas Coalter, O.D.
• Theresa Coe, PT
• Sara Elizabeth Colella, PHARMD
• Nicole M Coleman
• Christina Marie Collazo, COTA/L
• Renee Marie Collier, O.D.
• Community Home Health Care Services, LLC
• Compass Life Indiana LLC
• Marcos Contreras

• Otolaryngology Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.