MEDICARE: DR. DOMINIC MICHAEL COLELLA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	02008721A	IN
2	207RG0100X	Gastroenterology Physician	73589-21	WI
3	207RG0100X	Gastroenterology Physician	81128	MN

General Provider Information

NPI Number	:	1932530680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOMINIC MICHAEL COLELLA DO

Provider Business Mailing Address
First Line	:	6815 BISCAYNE BLVD STE 103
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138-6292
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11104 PARKVIEW CIRCLE DR STE 310
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1733
Country	:	US
Telephone Number	:	260-266-5230
Fax Number	:	260-458-5972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2013
Last Update Date	:	03/09/2026

Similar Medicare Providers

1134128143 — THOMAS S SCHUSSLER M.D.
Practice Location Address:

11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN
46845-1733

Practice Phone: 260-266-5230
Practice Fax: 260-458-5972

1144212259 — JAMES W EDLUND M.D.
Practice Location Address:

11104 PARKVIEW CIRCLE DR STE 320
FORT WAYNE, IN
46845-1733

Practice Phone: 260-266-5300
Practice Fax: 260-266-5314

1780676874 — VIRENDRA A. PARIKH M.D.
Practice Location Address:

11104 PARKVIEW CIRCLE DR STE 320
FORT WAYNE, IN
46845-1733

Practice Phone: 260-266-5300
Practice Fax:

1134115165 — MICHAEL LLOYD BLUM M.D.
Practice Location Address:

11104 PARKVIEW CIRCLE DR STE 310
FORT WAYNE, IN
46845-1733

Practice Phone: 260-266-5230
Practice Fax: 260-266-5238

1780669374 — DOUGLAS A. NEELD MD
Practice Location Address:

11104 PARKVIEW CIRCLE DR STE 10
FORT WAYNE, IN
46845-1733

Practice Phone: 260-425-6070
Practice Fax: 260-425-6073

1366422529 — DR. KENNETH R AUSTIN M.D.
Practice Location Address:

11104 PARKVIEW CIRCLE DR STE 20
FORT WAYNE, IN
46845-1733

Practice Phone: 270-266-5370
Practice Fax: 260-266-5379

Directions to “ DR. DOMINIC MICHAEL COLELLA DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.