Look up the most recent NPI and PECOS records

John Adam Colquitt

Anesthesiology

Allopathic & Osteopathic Physicians

12222 Merit Dr Ste 600, Dallas, TX 75251-3294

(972) 715-5000 (972) 233-1999

PECOS Enrollment

This provider is enrolled in PECOS as JOHN COLQUITT.

Based on the most recent information from CMS, provider John Adam Colquitt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1073552550
Provider Type
Individual
Full Name
Colquitt, John Adam
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/6/2006
Last Updated
6/22/2022

Contact Information

Practice Location

12222 Merit Dr Ste 600, Dallas, TX 75251-3294

(972) 715-5000

(972) 715-9976

Mailing Location

PO Box 840853, Dallas, TX 75284-0853

(972) 233-1999

(972) 233-3666

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License F9317 Texas

Provider Identifiers

ID	Description	Issuer
ID 120098204	Description Medicaid	Issuer Unlisted Texas

John Adam Colquitt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Mcelrath, Christopher Jordan

Fitzgerald, Brian Michael

Huss, Michael G.

Elevated Practice Solutions Inc

Layman, Richard M.

Abraham, Binu Rajan

Hussain, Asadullah

Tian, Lei

Bitner, Daniel M