SAMUEL L COLLINS (NPI# 1225107089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225107089 |
| Entity Type | Individual |
| Full Name | SAMUEL L COLLINS |
| Credential | PA-C |
| Practice Address |
1400 E Kincaid St Mount Vernon WA 98274-4127 |
| Mailing Address |
1400 E. Kincaid Street Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604282586 |
| Practice Fax Number | 3604286470 |
| Mailing Telephone | (360) 428-2500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60475541 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA00601 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9103177 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292272000 | 05 | |
| WA | 2037524 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3355 Riverbend Dr, Suite 300, Springfield, OR 974778800 | 5418689323 | 5418689306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763749 | Samuel Collins | Dentist | 205 Demonbreun St Apt 1503, Nashville, TN 37201-2347 | 2016-11-30 |
| 1447294996 | Samuel Deon Collins | Dentist | 19404 Morris Ave, Manvel, TX 77578 | 2006-06-15 |
| 1912373630 | Samuel Collins | Physical Therapy Assistant | 160 Riverside Dr, Augusta, ME 04330-4162 | 2015-08-17 |
| 1669477055 | Samuel Brown Collins | Emergency Medicine | 4402 Shipyard Blvd, Wilmington, NC 28403-6161 | 2005-06-14 |
| Street Address |
1400 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508836 | James William Hartley | Nurse Practitioner | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2005-06-16 |
| 1750997433 | Katie Akane Kaestner | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2020-09-18 |
| 1376189555 | Shaneen Fernandez | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-11-21 |
| 1558906008 | Andrea Marie Phillips | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-11-07 |
| 1174097026 | Rebecca Anne Knight | Advanced Practice Midwife | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-01-14 |
| 1700359445 | Michael A Payne | Registered Nurse | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2019-01-05 |
| 1093298051 | Emily Jean Jette | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2018-09-14 |
| 1841647849 | Marla Oakes | Pharmacist | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-05-19 |
| 1508213794 | Catherine Schnabel | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-05-18 |
| 1649634437 | Carlyn King | Obstetrics & Gynecology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2016-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694936 | Kristen Erin Roberts | Physician Assistant | 1500 Continental Pl, Mount Vernon, WA 98273-4105 | 2019-02-06 |
| 1033688981 | Ashton Taylor De Cardenas | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273 | 2018-11-21 |
| 1114419280 | Janelle A Shah | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274 | 2018-06-04 |
| 1700326824 | Shannan Theresa O'brien | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2017-03-08 |
| 1083991202 | Peter John Frey | Physician Assistant | 2320 Freeway Dr, Mount Vernon, WA 98273-5445 | 2011-11-16 |
| 1588757306 | Kristina L. Mullen | Physician Assistant | 2320 Freeway Drive, Mount Vernon, WA 98273 | 2006-10-02 |
| 1376656827 | Joey Alan Wegmann | Physician Assistant | 302 Broadway St, Mount Vernon, IL 62864-5116 | 2006-08-17 |
| 1598707218 | Carlos Aguero | Physician Assistant | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | 2006-06-11 |
| 1558325167 | Erin Doherty Van Allen | Physician Assistant | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153536 | Patricia Dorian | Physician Assistant | 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 | 2018-11-21 |
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1104308394 | Johnny Thanh Nguyen | Physician Assistant | 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 | 2018-09-04 |
| 1558843201 | Stefanie Eller | Physician Assistant | 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 | 2018-08-29 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1982058418 | Ray Johnson | Physician Assistant | 4446 88th Ave Se, Mercer Island, WA 98040 | 2016-04-21 |
| 1073990651 | Laura Skanse | Physician Assistant | 12303 Ne 130th Ln #500, Kirkland, WA 98034 | 2015-05-02 |
| 1104231893 | Amber Elaine Deck | Physician Assistant | 20307 67th Ave E, Spanaway, WA 98387-5600 | 2014-06-22 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on SAMUEL L COLLINS.
| 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.