TIMOTHY KELLY COLGAN (NPI# 1730186610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730186610 |
| Entity Type | Individual |
| Full Name | TIMOTHY KELLY COLGAN |
| Credential | M.D. |
| Practice Address |
755 N 11th St Ste P2280 Beaumont TX 77702-1525 |
| Mailing Address |
Po Box 4356 Dept 2234 Houston TX 77210-4356 |
| Practice Telephone | 4092364900 |
| Practice Fax Number | 4092364901 |
| Mailing Telephone | 4092364900 |
| Mailing Fax Number | 4092364901 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD2016-0640 | NM | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G2674 | TX | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD2016-0640 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G2674 | TX | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
G2674 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080142501 | 05 | |
| TX | 115955005 | 05 |
| Street Address |
755 N 11TH ST STE P2280 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649872 | Lindsay Kay Nagel | Registered Nurse | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2019-09-21 |
| 1760952022 | S E Texas Pain Management Pllc | Anesthesiology | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2018-11-29 |
| 1104128743 | Lakes Area Pain and Rehab Pllc | Pain Medicine | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2010-12-02 |
| 1689824864 | Janet L Warner | Nurse Practitioner | 755 N 11th St Ste P2280, Coastal Pain Care, Beaumont, TX 77702-1525 | 2008-09-24 |
| 1437347614 | Timothy K. Colgan Md Pa | Internal Medicine | 755 N 11th St Ste P2280, Beaumont, TX 77702-1525 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962527911 | Jeffrey A. Klem, Md, Pa | Internal Medicine | 3160 Fannin St, Suite 105, Beaumont, TX 77701-3948 | 2007-03-20 |
| 1306259742 | Rahul Patri Md Pllc | Internal Medicine | 3345 Plaza 10 Dr, Ste E, Beaumont, TX 77707-2554 | 2014-06-03 |
| 1225194129 | Metropolitan Cardiology P A | Internal Medicine | 740 Hospital Dr Ste 200, Beaumont, TX 77701-4663 | 2006-12-28 |
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| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
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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.