COLVIN MEDICAL CORPORATION (NPI# 1023152352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023152352 |
| Entity Type | Organization |
| Organization Name | COLVIN MEDICAL CORPORATION |
| Practice Address |
2106 Loop Rd Ste A Winnsboro LA 71295-3343 |
| Practice Telephone | 3184358020 |
| Mailing Telephone | 3184358020 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | THOMAS L COLVIN (OWNER) |
| Authorized Official Telephone | 3184358020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 109859 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | INDIVIDUAL NPI NUMBER | 1982670733 | 01 |
| LA | VANTAGE PROVIDER NO | L92021 | 01 |
| LA | 1449571 | 05 | |
| LA | AETNA PROVIDER NUMBER | 4371062 | 01 |
| Street Address |
2106 LOOP RD STE A |
| City | WINNSBORO |
| State | LA |
| Zip Code | 71295-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982670733 | Thomas L Colvin | Family Medicine | 2106 Loop Rd Ste A, Winnsboro, LA 71295-3343 | 2006-02-23 |
| 1053727578 | Jessica Williams Perry | Nurse Practitioner | 2106 Loop Rd Ste A, Winnsboro, LA 71295-3343 | 2014-07-03 |
| 1013163054 | Joyce Pennington Lockard | Nurse Practitioner | 2106 Loop Rd Ste A, Winnsboro, LA 71295-3343 | 2008-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
| 1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
| 1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
| 1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
| Find all providers in zip 71295 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639308380 | Mark Edward Shaffer | Family Medicine | 56 Us Highway 321 Byp N, Winnsboro, SC 29180-7100 | 2009-07-02 |
| 1609031400 | Charlie Jean Wofford | Family Medicine | 1136 Kincaid Bridge Rd, Suite A, Winnsboro, SC 29180-7116 | 2008-07-22 |
| 1184737892 | Fairfield Medical Associates, Pa | Family Medicine | 880 West Moultrie St., Suite 200, Winnsboro, SC 29180-1280 | 2006-08-16 |
| 1053365130 | Joel Glen Eldridge | Family Medicine | 233 Taylor Ave, Winnsboro, LA 71295-2431 | 2006-05-21 |
| 1306897038 | Mario A. Gutierrez | Family Medicine | 719 W Coke Rd # Mob4, Ste 6, Winnsboro, TX 75494-3011 | 2006-05-15 |
| 1568438323 | Jimmy R Coughran | Family Medicine | 101 Fair Avenue, Winnsboro, LA 71295-2116 | 2006-02-23 |
| 1982670733 | Thomas L Colvin | Family Medicine | 2106 Loop Rd Ste A, Winnsboro, LA 71295-3343 | 2006-02-23 |
| 1013919604 | Charles E Reed | Family Medicine | 3326 Front St, Suite B, Winnsboro, LA 71295-6487 | 2005-08-12 |
| 1215580113 | Memory Clinic of Louisiana | Family Medicine | 3326 Front St Ste B, Winnsboro, LA 71295-6418 | 2019-07-19 |
| 1619479888 | Alexandra Cooper Berry | Family Medicine | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-03-05 |
| Find all providers in WINNSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.