WM Colantoni Jr MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20388 Issued in IA

Legal business name

WM COLANTONI JR MD PC

Practice address

100 E Kimberly Rd
Suite 303
Davenport, IA 52806-5924

Phone

(563) 386-3333

Fax

(563) 386-9209

NPI assigned

Jul 20, 2005

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Colantoni Jr., M.D.NPI 1144229279

Title

President/Dermatologist

Phone

(563) 386-3333

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• William Colantoni Jr MD PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Colantoni Jr., MD

  • Dermatology Physician
  • Davenport, IA
  • NPI 1144229279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1942209077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E KIMBERLY RD",
            "address_2": "SUITE 303",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065924",
            "telephone_number": "563-386-3333",
            "fax_number": "563-386-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E KIMBERLY RD",
            "address_2": "SUITE 303",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065924",
            "telephone_number": "563-386-3333",
            "fax_number": "563-386-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM COLANTONI JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "COLANTONI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/DERMATOLOGIST",
        "authorized_official_telephone_number": "563-386-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "20388",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-054040",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "12808",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G833882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2131318",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William Colantoni Jr MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Curtis M Witt, P.T.
• Gregory C Witt, DDS
• Heidi Witt
• Hope Catherine Witt, OTR/L
• Jessica A Witter, ARNP
• Jacob Woelber
• Valerie R. Wold, ARNP
• Kelly Wolf, RN
• Theresa Louise Wolgast
• Woman to Woman Health Inc

• Dermatology Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.