MICHAEL W. COLBURN (NPI# 1174601264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174601264 |
| Entity Type | Individual |
| Full Name | MICHAEL W. COLBURN |
| Credential | DPM |
| Practice Address |
911 Moraga Rd Ste 101 Lafayette CA 94549-4591 |
| Mailing Address |
1050 Murrieta Blvd Livermore CA 94550-4111 |
| Practice Telephone | 9259629120 |
| Practice Fax Number | 9259629122 |
| Mailing Telephone | 9254551555 |
| Mailing Fax Number | 9252927592 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E2942 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E29420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630087 | Michael P Colburn | Physical Therapy Assistant | 3812 Ne 151st Ave, Vancouver, WA 98682-8221 | 2011-12-29 |
| 1760486260 | Michael D Colburn | Surgery | 3930 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-06-13 |
| 1720370810 | Michael Duane Colburn | Pediatrics | 105 E 9th St, Coralville, IA 52241 | 2011-05-06 |
| Street Address |
911 MORAGA RD STE 101 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-4591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508314121 | Bay Area Surgical Specialists, Inc A Medical Corporation | Internal Medicine | 911 Moraga Rd Ste 101, Lafayette, CA 94549-4591 | 2016-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812455 | Maraist Foot and Ankle Center LLC | Podiatrist | 155 Hospital Dr Ste 203, Lafayette, LA 70503-2852 | 2017-10-24 |
| 1013357714 | Katherine Cummins | Podiatrist | 1345 Unity Pl Ste 225, Lafayette, IN 47905-5762 | 2013-06-27 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1326130121 | Verne Lawrence Thibodeaux | Podiatrist | 1602 W Pinhook, Suite 100, Lafayette, LA 70508 | 2006-09-29 |
| 1700992187 | Ben A Vierra | Podiatrist | 601 West St Mary Blvd, Ste 106, Lafayette, LA 70506 | 2006-08-21 |
| 1821056128 | Scott Mitchell Beairsto | Podiatrist | 205 Bonaire Dr, Lafayette, LA 70506-6827 | 2006-05-03 |
| 1972571297 | Nicholas P Costidakis | Podiatrist | 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909-9192 | 2006-03-11 |
| 1659378453 | George A Sobiesk | Podiatrist | 4809 Ambassador Caffery Pkwy, Suite 200, Lafayette, LA 70508-6917 | 2005-07-07 |
| 1790963197 | Unity Healthcare, LLC | Podiatrist | 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909-9192 | 2008-02-07 |
| 1578748554 | Unity Healthcare, LLC | Podiatrist | 2020 Union St, Suite 100, Lafayette, IN 47904-3432 | 2008-01-08 |
| Find all providers in LAFAYETTE | ||||
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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.