COLVIN CLAY WELLBORN (NPI# 1760478259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760478259 |
| Entity Type | Individual |
| Full Name | COLVIN CLAY WELLBORN |
| Credential | M.D. |
| Practice Address |
1715 N George Mason Dr #504 Arlington VA 22205-3609 |
| Practice Telephone | 7035252200 |
| Practice Fax Number | 7035222603 |
| Mailing Telephone | 7035252200 |
| Mailing Fax Number | 7035222603 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G84666 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G846660 | 05 |
| Street Address |
1715 N GEORGE MASON DR #504 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153111 | Deepali Kothary | Obstetrics & Gynecology | 1715 N George Mason Dr, Ste 406, Arlington, VA 22205-3662 | 2005-06-09 |
| 1578179891 | Kirsten Campbell | Physical Therapist | 1715 N George Mason Dr, Arlington, VA 22205-3609 | 2020-09-22 |
| 1346897949 | Patrick Choate | Physical Therapist | 1715 N George Mason Dr, Arlington, VA 22205-3609 | 2019-08-20 |
| 1497291769 | Thomas Stormer | Physical Therapist | 1715 N George Mason Dr, Suite 503, Medical Offices C, Arlington, VA 22205-3609 | 2017-01-11 |
| 1962850685 | Maureen Bradley | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-06-03 |
| 1952758591 | Dianne W Robbins | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-05-24 |
| 1891142543 | Kelly Mcgraw | Specialist | 1715 N George Mason Dr, Suite 503, Arlington, VA 22205-3609 | 2016-05-23 |
| 1518314509 | Sharon Lynn Goldman | Specialist | 1715 N George Mason Dr, Suite 504, Arlington, VA 22205-3609 | 2016-05-19 |
| 1013394725 | Allergy Partners, Pa | Allergy & Immunology | 1715 N George Mason Dr, Suite 307, Arlington, VA 22205-3609 | 2015-05-01 |
| 1528475118 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1715 N George Mason Dr, Suite 409, Arlington, VA 22205-3609 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1457609323 | Matthew Carnochan Kinney | Orthopaedic Surgery | 2445 Army Navy Dr Ste 307, Arlington, VA 22206-2998 | 2012-08-26 |
| 1043415250 | Venkat Raghav Rapuri | Orthopaedic Surgery | 902 W Randol Mill Rd Ste 120, Arlington, TX 76012-2579 | 2007-06-18 |
| 1124175674 | Richard Otto Sutton | Orthopaedic Surgery | 1901 S Bell St, Arlington, VA 22202-4511 | 2007-01-05 |
| 1043222722 | John Anthony Sazy | Orthopaedic Surgery | 431 Omega Dr, Suite 104, Arlington, TX 76014-2041 | 2006-08-12 |
| 1821003609 | Family Orthopedics and Rehabilitation, LLP | Orthopaedic Surgery | 609 Matlock Centre Cir, Arlington, TX 76015-2535 | 2006-07-30 |
| 1033137435 | Bruce I Prager | Orthopaedic Surgery | 400 W Arbrook Blvd Ste 120, Arlington, TX 76014-3107 | 2006-07-17 |
| 1689606352 | Thomas Bradley Benedict | Orthopaedic Surgery | 901 Medical Centre Dr Ste C, Arlington, TX 76012-4700 | 2006-07-06 |
| 1194769224 | Jjc Enterprises,pllc | Orthopaedic Surgery | 103 E 3rd St, Arlington, WA 98223-1348 | 2006-06-16 |
| Find all providers in ARLINGTON | ||||
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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.