COLONNA PHYSICIAN SERVICES LLC (NPI# 1346708708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346708708 |
| Entity Type | Organization |
| Organization Name | COLONNA PHYSICIAN SERVICES LLC |
| Other Organization Name | MICHAEL COLONNA |
| Practice Address |
4030 N Stockton Hill Rd Ste 3 Kingman AZ 86409-2452 |
| Practice Telephone | 9288975365 |
| Practice Fax Number | 9284438941 |
| Mailing Telephone | 9288975365 |
| Mailing Fax Number | 9284438941 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | MICHAEL COLONNA (OWNER) |
| Authorized Official Telephone | 9288975365 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Michael Colonna | Doing Business As Name - Organization |
| Street Address |
4030 N STOCKTON HILL RD STE 3 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447694815 | Kingman Emergency Associates Pllc | Emergency Medicine | 3629 Stockton Hill Rd, Kingman, AZ 86409-3055 | 2013-04-29 |
| 1285953166 | Jarem B. Lloyd | Emergency Medicine | 1841 Morrow Ave., Kingman, AZ 86401 | 2010-05-18 |
| 1841516663 | Thomas Matthew Sichi | Emergency Medicine | 6751 E Diablo Dr, Kingman, AZ 86401-8341 | 2010-04-19 |
| 1508007477 | Michael Colonna | Emergency Medicine | 2273 Caprock Ave, Kingman, AZ 86401-7423 | 2009-03-23 |
| 1134321557 | Jeremy Gabriel Barnes | Emergency Medicine | 3350 Harrison St Apt 124, Kingman, AZ 86409-3688 | 2007-06-05 |
| 1497713416 | Donovan Schmidt | Emergency Medicine | 2002 Stockton Hill Rd, Suite 103, Kingman, AZ 86401-4698 | 2006-05-01 |
| 1841780079 | Sasha Hallett Reid | Emergency Medicine | 3269 Stockton Hill Road, Kingman, AZ 86409 | 2018-05-14 |
| 1821597600 | Shawn Paul Catmull | Emergency Medicine | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2018-02-07 |
| 1427599158 | Daniel B Dawson | Emergency Medicine | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2017-03-14 |
| 1770023020 | Sarah Ehlers | Emergency Medicine | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2017-03-06 |
| Find all providers in KINGMAN | ||||
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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.