COLLIS, KIM & ASSOCIATES, INC. (NPI# 1336140987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336140987 |
| Entity Type | Organization |
| Organization Name | COLLIS, KIM & ASSOCIATES, INC. |
| Practice Address |
1 Eagle Valley Ct Suite 101 Broadview Hts OH 44147-2982 |
| Mailing Address |
Po Box 94832 Cleveland OH 44101-4832 |
| Practice Telephone | 4407461055 |
| Practice Fax Number | 4407461052 |
| Mailing Telephone | 2164645160 |
| Mailing Fax Number | 2164645982 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JOHN S COLLIS JR. (PRESIDENT) |
| Authorized Official Telephone | 4407461055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | ========= | OH | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
========= | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1 EAGLE VALLEY CT SUITE 101 |
| City | BROADVIEW HTS |
| State | OH |
| Zip Code | 44147-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275723769 | Michael Brian Canales | Podiatrist | 1 Eagle Valley Ct, Broadview Hts, OH 44147 | 2007-07-31 |
| 1922009125 | Young Hwan Kim | Neurological Surgery | 1 Eagle Valley Ct, Suite 101, Broadview Hts, OH 44147-2982 | 2005-08-10 |
| 1821099201 | John S Collis Jr. | Neurological Surgery | 1 Eagle Valley Ct, Suite 101, Broadview Hts, OH 44147-2982 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980827 | Alexandra Pittaway | Technician | 8425 Cherry Hill Lane, Broadview Heights, OH 44147 | 2019-09-06 |
| 1326601733 | Matthew Kubalski | Physical Therapist | 7000 Town Centre Drive, Suite 400, Broadview Heights, OH 44147 | 2019-04-22 |
| 1477027860 | Tera Chmura | Behavioral Analyst | 3681 Braemar Dr, Broadview Heights, OH 44147 | 2019-01-18 |
| 1104302520 | David Huang | General Practice | 2828 Lydia Dr, Broadview Hts, OH 44147 | 2018-07-18 |
| 1558536813 | Christmas Home Health, LLC | Home Health | 2104 Stoney Run Circle, Broadview Hts., OH 44147 | 2008-04-28 |
| 1609057124 | Debra L Klein | Physician Assistant | One Eagle Valley Court, Broadview Hts, OH 44147 | 2007-11-27 |
| 1114110764 | Rosemarie Theresa Santiago | Licensed Practical Nurse | 9622 Amberwood Ct, Broadview Hts, OH 44147 | 2007-08-27 |
| 1972724615 | Donna Rowan Culley | Speech-Language Pathologist | 3505 East Royalton Road, Broadview Heights, OH 44147 | 2007-05-01 |
| 1437180247 | Southwest Endodontics & Periodontics | Dentist | 1000 W Wallings Rd, Suite B Southwest Endo & Perio Inc, Broadview Heights, OH 44147 | 2006-07-06 |
| 1457834871 | Julie Ann Pinter | Speech-Language Pathologist | 3505 East Royalton Road, Suite 221, Broadview Heights, OH 44147 | 2018-09-11 |
| Find all providers in zip 44147 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1487048617 | Juliette Yedimenko | Internal Medicine | 9500 Euclid Ave # A50, Cleveland, OH 44195-0001 | 2015-03-25 |
| 1740623628 | Licking Memorial Professional Corporation | Internal Medicine | 1272 West Main Street Bldg 2, Ste 4, Newark, OH 43055 | 2013-04-10 |
| 1790020501 | Bruce Wall | Internal Medicine | 700 Ackerman Rd Ste 580, Columbus, OH 43202-1589 | 2012-12-05 |
| 1942563218 | Beatrice Kenol | Internal Medicine | 3691 Ridge Mill Dr Fl 1, Hilliard, OH 43026-7752 | 2012-06-20 |
| 1902136443 | Thomas James Romano | Internal Medicine | 205 N 5th St, Martins Ferry, OH 43935-1530 | 2010-01-06 |
| 1295061224 | Robert V. Hemphill | Internal Medicine | 1241 Briarhill Spur, Akron, OH 44333 | 2009-10-27 |
| 1639317696 | Frederic Carl Bishko | Internal Medicine | 2679 Rocklyn Rd, Shaker Heights, OH 44122-2112 | 2009-01-29 |
| 1639332265 | Shailey Desai | Internal Medicine | 9500 Euclid Ave Desk A50, Cleveland, OH 44195 | 2008-07-03 |
| 1407049133 | May Azem | Internal Medicine | 7527 Fredle Dr, Concord Twp, OH 44077-9406 | 2007-08-27 |
| Find all providers with the same taxonomy | ||||
| City | BROADVIEW HTS |
| Zip Code | 44147 |
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| 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.