DR. COLIN WILFRED DEFORD (NPI# 1780971655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780971655 |
| Entity Type | Individual |
| Full Name | DR. COLIN WILFRED DEFORD |
| Credential | D.O. |
| Practice Address |
4608 Brook St Papillion NE 68133-4813 |
| Practice Telephone | 5153607261 |
| Mailing Telephone | 5153607261 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6659 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
4608 BROOK ST |
| City | PAPILLION |
| State | NE |
| Zip Code | 68133-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265947063 | Darryl Nunes | Pharmacist | 8525 South 71st St Plaza, Papillion, NE 68133 | 2017-12-04 |
| 1144734096 | Dallin Darais | Pharmacist | 8525 S 71st Street Plaza, Papillion, NE 68133 | 2017-11-29 |
| 1508370800 | Kristin Kremer | Pharmacist | 8525 South 71st Street Plaza, Papillion, NE 68133 | 2017-11-22 |
| 1508385212 | Patricia M Doss Schliesman | Speech-Language Pathologist | 2820 Arboretum Dr, Papillion, NE 68133 | 2017-09-13 |
| 1851790810 | Sam's West, Inc. | Technician/Technologist | 9851 S 71st Plaza, Papillion, NE 68133 | 2014-08-15 |
| 1225326945 | Anna Thompson | Optometrist | 9851 S 71st Plz, Papillion, NE 68133 | 2011-07-14 |
| 1023179959 | Micah Todd Jeppesen | Dentist | 10274 S 71st St, Papillion, NE 68133 | 2006-12-13 |
| 1659364552 | Natalie Christine Mandolfo | Clinical Nurse Specialist | 703 Ruby Rd, Papillion, NE 68133 | 2005-08-25 |
| 1194036962 | Bridget Larson | Psychologist | 2501 Capehart Road, Offutt, NE 68133 | 2010-06-27 |
| 1063439164 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8525 S 71st Plz, Papillion, NE 68133-2100 | 2006-07-16 |
| Find all providers in zip 68133 | ||||
| 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 |
|---|---|---|---|---|
| 1134522808 | Wright Turn Lane PC | Family Medicine | 1219 Applewood Dr Ste 105, Papillion, NE 68046-5763 | 2014-10-08 |
| 1184048415 | Premier Family Medicine PC | Family Medicine | 249 Olson Dr Ste 111, Papillion, NE 68046-2974 | 2014-02-06 |
| 1265695241 | Santosh Kumar | Family Medicine | 11109 S 84th St Ste 5800, Papillion, NE 68046-4124 | 2008-07-09 |
| 1093865883 | Michael Walts | Family Medicine | 1414 S Washington St, Papillion, NE 68046-4163 | 2007-01-12 |
| 1578584280 | Peter A Crane | Family Medicine | 8419 S 73rd Plz Ste 101, Papillion, NE 68046 | 2006-07-21 |
| 1275565939 | Jeffry L Strohmyer | Family Medicine | 249 Olson Dr, Suite 111, Papillion, NE 68046 | 2006-07-06 |
| 1053300244 | Lorrie Lynn Mcgill | Family Medicine | 1502 S Washington St, Ste 201, Papillion, NE 68046-3136 | 2005-10-19 |
| 1629062054 | Paul Stewart Mueller | Family Medicine | 101 E Centennial Rd, Papillion, NE 68046-2079 | 2005-08-31 |
| 1356346084 | Robert G Naegele | Family Medicine | 555 Fortune Dr, Papillion, NE 68046-3421 | 2005-06-17 |
| 1467866277 | Adam Rasmussen | Family Medicine | 249 Olson Dr Ste 111, Papillion, NE 68046-2974 | 2014-06-19 |
| Find all providers in PAPILLION | ||||
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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.