DEIRDRE COLGAN (NPI# 1063654135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654135 |
| Entity Type | Individual |
| Full Name | DEIRDRE COLGAN |
| Credential | M.D. |
| Practice Address |
1200 Driving Park Avenue Po Box 111 Newark NY 14513-1090 |
| Mailing Address |
601 Elmwood Ave # 777r Rochester NY 14642-0001 |
| Practice Telephone | 3153592557 |
| Practice Fax Number | 3153592248 |
| Mailing Telephone | (585) 273-1044 |
| Mailing Fax Number | 5854426580 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
269623 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04464600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Coulter Rd, Clifton Springs, NY 144321122 | 3154621521 | 3154622062 |
| Street Address |
1200 DRIVING PARK AVENUE PO BOX 111 |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191732 | Karen Gebauer Buerman | Occupational Therapist | 1200 Driving Park Avenue, Newark, NY 14513-0111 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467536623 | Pulmonary & Critical Care Associates | Internal Medicine | 268-306 Dr M.l.k. Blvd, Newark, NJ 07102 | 2006-10-24 |
| 1124109319 | Richard A. Miller | Internal Medicine | 268 -306 Martin Luther King Blvd, Newark, NJ 07102 | 2006-10-17 |
| 1871512616 | Saroj Sehgal | Internal Medicine | 1023 S Orange Ave, Newark, NJ 07106-1718 | 2006-07-19 |
| 1205851359 | Lee B. Reichman | Internal Medicine | 225 Warren St, 1st Floor, Newark, NJ 07103-3535 | 2006-07-12 |
| 1932178357 | Hemantkumar G Patel | Internal Medicine | 646 Sanford Ave, Newark, NJ 07106-3036 | 2006-03-16 |
| 1346669496 | Carlos E Osorio | Internal Medicine | 150 Bergen St, Newark, NJ 07103-2496 | 2014-04-15 |
| 1124445200 | Katherine Chiapaikeo-poco | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2014-03-26 |
| 1891138236 | Marc Isaiah Lindner | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2013-04-16 |
| 1225320427 | Andrew Ryan Deitchman | Internal Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2011-05-05 |
| 1184941197 | Morium Akthar | Internal Medicine | 150 Bergen St, University Hospital, Newark, NJ 07103-2496 | 2010-04-29 |
| Find all providers in NEWARK | ||||
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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.