Healthcare Provider Details

I. General information

NPI: 1053940908
Provider Name (Legal Business Name): COLIN RHOADS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5895 HARPER RD
SOLON OH
44139-1832
US

IV. Provider business mailing address

PO BOX 72434
CLEVELAND OH
44192-0002
US

V. Phone/Fax

Practice location:
  • Phone: 440-349-7137
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number34015929
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: