| Edward L. Colby D.o. Inc. | |
|
61353 Southgate Rd Suite#6 Cambridge OH 43725-6607 | |
| (740) 432-3434 | |
| (740) 432-4035 |
| Full Name | Edward L. Colby D.o. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 61353 Southgate Rd, Cambridge, Ohio |
| Authorized Official Name and Position | Edward Lawrence Colby (PRESIDENT) |
| Authorized Official Contact | 7404323434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L. Colby D.o. Inc. 61353 Southgate Rd Suite#6 Cambridge OH 43725-6607 Ph: (740) 432-3434 | Edward L. Colby D.o. Inc. 61353 Southgate Rd Suite#6 Cambridge OH 43725-6607 Ph: (740) 432-3434 |
| NPI Number | 1023136587 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921296732 |
|---|---|
| Medicare Enrollment ID | O20101221000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023136587 | NPI | - | NPPES |
| 000000119977 | Other | OH | COMMUNITY MUTUAL |
| 298728719002 | Other | OH | MED MUTUAL ED |
| 2341344 | Medicaid | OH | |
| 0879830 | Medicaid | OH | |
| 295500551002 | Other | OH | MED MUTUAL LINDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34004997 (Ohio) | Primary |
| Provider Name | Edward Lawrence Colby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518956473 PECOS PAC ID: 8921083783 Enrollment ID: I20101221000524 |
| Provider Name | Caitlin N Lander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285246132 PECOS PAC ID: 2365857133 Enrollment ID: I20210209002631 |
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