DR. MICHAEL DUANE COLBURN (NPI# 1720370810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720370810 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DUANE COLBURN |
| Credential | MD |
| Practice Address |
105 E 9th St Coralville IA 52241 |
| Mailing Address |
200 Hawkins Dr Iowa City IA 52242-1009 |
| Practice Telephone | 3194672000 |
| Practice Fax Number | 3194672410 |
| Mailing Telephone | 3193847333 |
| Mailing Fax Number | 3133846295 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD-41919 | IA | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD-41919 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1765 Lininger Ln, North Liberty, IA 523172316 | 3194677888 | 3194677889 |
| 200 Hawkins Dr, Iowa City, IA 522421009 | 3193847333 | 3133846295 |
| 3640 Middlebury Rd, Iowa City, IA 522452712 | 3193394742 | 3194677400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630087 | Michael P Colburn | Physical Therapy Assistant | 3812 Ne 151st Ave, Vancouver, WA 98682-8221 | 2011-12-29 |
| 1174601264 | Michael W. Colburn | Podiatrist | 911 Moraga Rd Ste 101, Lafayette, CA 94549-4591 | 2006-11-02 |
| 1760486260 | Michael D Colburn | Surgery | 3930 Cedar Run Rd, Traverse City, MI 49684-9687 | 2005-06-13 |
| Street Address |
105 E 9TH ST |
| City | CORALVILLE |
| State | IA |
| Zip Code | 52241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917558 | Vanaja Thondapu | Internal Medicine | 105 E 9th St, Coralville, IA 52241 | 2005-07-27 |
| 1417586231 | Whitney Hubbell | Pharmacist | 105 E 9th St, Coralville, IA 52241-2209 | 2020-04-03 |
| 1518504547 | Kara Wood | Dietitian, Registered | 105 E 9th St, Coralville, IA 52241-2209 | 2019-12-10 |
| 1205488046 | Anthony Richard White | Dietitian, Registered | 105 E 9th St, Coralville, IA 52241-2209 | 2019-07-11 |
| 1760985469 | Brooke Lee Aarhus | Physician Assistant | 105 E 9th St, Coralville, IA 52241 | 2018-03-09 |
| 1720597800 | Eleanor Andersen Lingo | Nurse Practitioner | 105 E 9th St, Coralville, IA 52241-2209 | 2017-09-21 |
| 1336597525 | Amanda Lee Hoffman | Internal Medicine | 105 E 9th St, Coralville, IA 52241-2209 | 2016-05-27 |
| 1790133288 | Michael Wayne Klein | Internal Medicine | 105 E 9th St, Coralville, IA 52241-2209 | 2016-05-25 |
| 1477922052 | Emily Sue Rockafellow | Nurse Practitioner | 105 E 9th St, Coralville, IA 52241-2209 | 2015-09-24 |
| 1861885071 | State University of Iowa | Eyewear Supplier (Equipment, not the service) | 105 E 9th St, Ste 2400, Coralville, IA 52241-2209 | 2015-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1114550886 | Encompass Health Rehabilitation Hospital of Iowa City, LLC | Rehabilitation Hospital | 2450 Coral Court, Coralville, IA 52241 | 2020-02-20 |
| 1215575394 | Eastern Iowa Rehabilitation Hospital, LLC | Rehabilitation Hospital | 2801 Heartland Drive, Coralville, IA 52241 | 2019-12-19 |
| 1851938690 | Matthew Easley | Speech-Language Pathologist | 2854 Coral Court, Ste 1, On With Life Outpatient Neuro Rehabilitation, Coralville, IA 52241 | 2019-11-27 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| 1861996191 | Roggy Vision Center, Pllc | Optometrist | 708 5th St Ste 1, Coralville, IA 52241 | 2018-03-21 |
| 1013446467 | Monica Basile | Midwife | 501 12th Ave, St 102, Coralville, IA 52241 | 2017-06-08 |
| 1568893121 | Mohamed Karim | Chiropractor | 1801 Brown Deer Trail, Coralville, IA 52241 | 2013-12-09 |
| 1689011405 | Nicole Ann Wagaman | Family Medicine | 2801 Heartland Dr., Coralville, IA 52241 | 2013-06-03 |
| Find all providers in zip 52241 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518039460 | Lilanganie Weerasinghe | Pediatrics | 2353 Se 14 St, Des Moines, IA 50320-1109 | 2006-11-15 |
| 1366546004 | Adel F Makar | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-12 |
| 1730172040 | Paul Andrew Rozeboom | Pediatrics | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2005-08-23 |
| 1861908089 | Grand View University | Pediatrics | 1200 Grandview Ave, Johnson Wellness Center, Des Moine, IA 50316-1529 | 2017-12-26 |
| 1164602553 | Mercy Clinics, Inc | Pediatrics | 800 E 1st St Ste 2200, Ankeny, IA 50021-2077 | 2007-11-14 |
| 1407036262 | Mercy Clinics Inc | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-11-09 |
| 1588863518 | Sunita Tarun Kumar | Pediatrics | 330 Laurel St, Suite 2100, Des Moines, IA 50314-3034 | 2007-07-11 |
| 1144309188 | Central Iowa Hospital Corporation | Pediatrics | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2006-11-02 |
| 1952409716 | Martin G Meindl | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| 1841398609 | Tami R Wiegmann | Pediatrics | 910 N Eisenhower, Suite Peds, Mason City, IA 50401-0000 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | CORALVILLE |
| Zip Code | 52241 |
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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.