Marquetta D Colbert (NPI# 1891932208, PAC ID# 8426189515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891932208 |
| PAC ID by PECOS | 8426189515 |
| Professional Enrollment ID | I20100707000151 |
| Full Name | Marquetta D Colbert |
| Organization Legal Name | COLBERT FAMILY HEALTH AND WELLNESS LLC |
| Address |
600 Wayne Ave Dayton OH 45410-1122 |
| Phone Number | 9375294376 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486785052 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 2580 Shiloh Springs Rd B, Dayton, OH 45426-2100 | 9375294376 | COLBERT FAMILY HEALTH AND WELLNESS LLC |
| 600 Wayne Ave, Dayton, OH 45410-1122 | 9375294376 | COLBERT FAMILY HEALTH AND WELLNESS LLC |
| Organization Legal Name | COLBERT FAMILY HEALTH AND WELLNESS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marlon D Twyman | Family Medicine | Colbert Family Health and Wellness LLC | 2580 Shiloh Springs Rd B, Dayton, OH 45426-2100 |
| Genessa L Merritt | Nurse Practitioner | Colbert Family Health and Wellness LLC | 2580 Shiloh Springs Rd B, Dayton, OH 45426-2100 |
| Street Address |
600 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip | 45410-1122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannine E Sheppard | Psychiatry | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Sarah M Franks | Physician Assistant | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Robert Orgain Hardy | Psychiatry | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Stephanie Weigel | Nurse Practitioner | Eastway Corporation | 600 Wayne Ave, Dayton, OH 45410-1122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Mustovich | Clinical Nurse Specialist | Renal Physicians Inc | 1427 Business Ctr Ct, Dayton, OH 45410-3300 |
| City | DAYTON |
| Zip Code | 45410 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DAYTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marquetta D Colbert.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.