PHILLIP M. COLBERT, MD,, A MEDICAL CORPORATION


Address: 77 Casa St Ste 108, San Luis Obispo, CA 93405-5804
Phone: 8055416080

PHILLIP M. COLBERT, MD,, A MEDICAL CORPORATION (NPI# 1790822252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790822252
Entity Type Organization
Organization Name PHILLIP M. COLBERT, MD,, A MEDICAL CORPORATION
Practice Address 77 Casa St Ste 108
San Luis Obispo
CA 93405-5804
Mailing Address 77 Casa St
Suite 108
San Luis Obispo
CA 93405-5803
Practice Telephone 8055416080
Practice Fax Number 8055410637
Mailing Telephone 8055416080
Mailing Fax Number 8055410637
Enumeration Date 2007-01-31
Last Update Date 2008-01-25
Authorized Official Name DR. PHILLIP M COLBERT (PHYSICIAN)
Authorized Official Telephone 8055416080
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
C35295 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 77 CASA ST STE 108
City SAN LUIS OBISPO
State CA
Zip Code 93405-5804

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164076626 Hilary Abbott Anderson Physician Assistant 127 Casa St., San Luis Obispo, CA 93405 2019-08-01
1811465834 Fatemeh Ladan Ahmadinia Dentist 764 N Santa Rosa St, San Luis Obispo, CA 93405 2018-11-07
1538559794 Arnold Martin Horwitz Marriage & Family Therapist 1605 Garnette Drive, San Luis Obispo, CA 93405 2015-01-27
1750794764 Solmaz Naghsh Pharmacist 765 Foothill Blvd, San Luis Obispo, CA 93405 2014-06-06
1609293471 Robert S. Flores Dmd, Inc Dentist 878 Boysen Avenue, San Luis Obispo, CA 93405 2014-03-18
1457776445 Laura Anne Wilvert Marriage & Family Therapist 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 2014-02-27
1497181200 Tracey Ruby Madrigal Counselor 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 2013-09-25
1437597572 Sarah Michelle Brenis Counselor 524 Princeton Place, San Luis Obispo, CA 93405 2013-06-11
1013350974 Jenna Rose Ramos Counselor 1459 Descanso St., San Luis Obispo, CA 93405 2013-04-10
1700140696 Christopher Dieterich Marchand Social Worker 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 2012-06-26
Find all providers in zip 93405

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740359215 Steven W Carlson Internal Medicine 1551 Bishop Street Suite 250, San Luis Obispo, CA 93401 2006-11-07
1467420257 Neal Moller Internal Medicine 35 Casa St Ste 130, San Luis Obispo, CA 93405-1887 2006-03-09
1366427221 Paul D Wetzel Internal Medicine 1551 Bishop St Ste 510, San Luis Obispo, CA 93401-4665 2005-12-13
1427039916 Vance D Rodgers Internal Medicine 1551 Bishop St Ste 230, San Luis Obispo, CA 93401-4661 2005-11-10
1801897012 Mick Scott Meiselman Internal Medicine 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 2005-08-10
1285186106 Mick S. Meiselman, M.d., Professional Corporation Internal Medicine 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 2016-10-26
1003103805 Rabab Hajar Internal Medicine 35 Casa St Ste 130, San Luis Obispo, CA 93405-1887 2011-06-30
1851526594 Gary L. Cushing, M.d., A Medical Corp. Internal Medicine 1551 Bishop St Ste 510, San Luis Obispo, CA 93401-4665 2009-05-26
1831381292 Gary L. Cushing, Md Internal Medicine 1551 Bishop St, Suite 510, San Luis Obispo, CA 93401-4635 2007-08-09
1235321688 Steven W. Carlson, Md Internal Medicine 1551 Bishop St, Suite 250, San Luis Obispo, CA 93401-4635 2007-08-09
Find all providers in SAN LUIS OBISPO

Competitor

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City SAN LUIS OBISPO
Zip Code 93405

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Dataset Information

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.

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