MARK R COLLISON (NPI# 1336256130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336256130 |
| Entity Type | Individual |
| Full Name | MARK R COLLISON |
| Credential | M.D. |
| Practice Address |
405 S Clark St Suite 230 Carroll IA 51401-3065 |
| Mailing Address |
105 E 13th St Carroll IA 51401-2013 |
| Practice Telephone | 7127942222 |
| Practice Fax Number | 7127922124 |
| Mailing Telephone | 5153218029 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 22966 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 3195875 | 05 |
| Street Address |
405 S CLARK ST SUITE 230 |
| City | CARROLL |
| State | IA |
| Zip Code | 51401-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629073 | Iowa Physicians | Medical Genetics, Ph.D. Medical Genetics | 405 S Clark St, Ste 200, Carroll, IA 51401-3047 | 2005-06-16 |
| 1417350257 | Rebecca Mccann | Nurse Practitioner | 405 S Clark St, Ste 215, Carroll, IA 51401-3065 | 2014-10-08 |
| 1396071015 | Vivian Dianne Chance | Nurse Practitioner | 405 S Clark St, Suite 215, Carroll, IA 51401-3065 | 2009-10-30 |
| 1821239005 | Lease Eye Md PC | Ophthalmology | 405 S Clark St, Suite 220, Carroll, IA 51401-3065 | 2009-03-17 |
| 1912188780 | Virginia Ann Uhlenkamp | Nurse Practitioner | 405 S Clark St, Suite 215, Carroll, IA 51401-3065 | 2007-11-20 |
| 1447459615 | Hope Jennifer Jensen | Nurse Practitioner | 405 S Clark St, Suite 230, Carroll, IA 51401-3065 | 2007-07-17 |
| 1740494244 | Wellendorf Ent, P.C. | Otolaryngology | 405 S Clark St, Suite 215, Carroll, IA 51401-3065 | 2007-05-10 |
| 1790906246 | Kyle Gerard Ulveling | Internal Medicine | 405 S Clark St, Carroll, IA 51401-3065 | 2007-05-01 |
| 1417075466 | Richard Cline Sazama | Urology | 405 S Clark St, Suite 100, Carroll, IA 51401-3065 | 2007-03-27 |
| 1407968704 | Karla Kay Cheney | Pediatrics | 405 S Clark St, Suite 100, Carroll, IA 51401-3065 | 2006-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625660 | Madison Hemer | Dietitian, Registered | 311 South Clark Street, Carroll, IA 51401 | 2020-10-07 |
| 1598397309 | Samantha Anne Ludwig | Pharmacist | 425 Highway 30 West, Suite 140, Carroll, IA 51401 | 2020-02-10 |
| 1265804082 | Katrina (tina) K Wederquist Zanders | Social Worker | 409 1/2 W 7th, Catholic Charities, Carroll, IA 51401 | 2015-10-21 |
| 1508127705 | Carly M. Quam | Family Medicine | 1241 S Grant Road, Carroll, IA 51401 | 2012-06-04 |
| 1033492517 | Daniel Michael G'sell | Pharmacist | 1214 S. Grant Rd., Carroll, IA 51401 | 2011-09-21 |
| 1356510317 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2014 Kitty Hawk Ave, Carroll, IA 51401 | 2008-02-25 |
| 1902075153 | Banks Chiropractic Inc. | Chiropractor | 1420 Hwy. 71 North, Carroll, IA 51401 | 2008-02-21 |
| 1093994261 | Janelle Rae Brungardt | Occupational Therapy Assistant | 2241 Northwest Street, Carroll, IA 51401 | 2007-10-24 |
| 1871780197 | Assisted Living Concepts Inc | Assisted Living Facility | 1024 E 12th Street, Carroll, IA 51401 | 2007-10-01 |
| 1487865267 | Tthomas Charles Lehman | Pharmacist | 859 Highway 30 E, Carroll, IA 51401 | 2007-05-24 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1871535112 | Fairfield Healthcare Professionals Inc | Internal Medicine | 82 East Canal St, Carroll, OH 43112 | 2006-06-12 |
| 1790906246 | Kyle Gerard Ulveling | Internal Medicine | 405 S Clark St, Carroll, IA 51401-3065 | 2007-05-01 |
| 1992796197 | Daphne Ann Pudenz | Internal Medicine | 405 S Clark St, Suite 100, Carroll, IA 51401-3065 | 2005-11-04 |
| 1649261181 | Richard Bruce Peters | Internal Medicine | 1214 South Grant Road, Mcfarland Clinic PC, Carroll, IA 51401-3047 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281915 | Impact Physician Group Iowa LLC | Internal Medicine | 2801 Heartland Dr, Coralville, IA 52241 | 2020-10-01 |
| 1194349076 | Tyler Vance | Internal Medicine | 9005 Bridgewood Blvd Unit 6210, West Des Moines, IA 50266-8198 | 2020-06-05 |
| 1154943900 | Taylor Christine Becker | Internal Medicine | 200 Hawkins Dr., E326-2 Gh, Iowa City, IA 52242-1009 | 2020-05-15 |
| 1659901031 | Gitangali Singh Md Pllc | Internal Medicine | 47 Crabapple Ct, Iowa City, IA 52246-9408 | 2020-01-24 |
| 1245882497 | The Iowa Clinic Executive Health | Internal Medicine | 5950 University Ave Fl 3, West Des Moines, IA 50266-8216 | 2019-07-09 |
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1780241679 | Kendra Walker Tan | Internal Medicine | 200 Hawkins Dr Dept Internal, Iowa City, IA 52242-1009 | 2019-05-25 |
| 1649837840 | Tyler Craig Bullis | Internal Medicine | 200 Hawkins Dr Dept Int, Iowa City, IA 52242-1009 | 2019-05-22 |
| 1538722152 | Adam Ethan Prescott | Internal Medicine | University of Iowa Hospitals & Clinics (uihc), 200 Hawkins Drive, Department of Internal Medicine, Iowa City, IA 52242-1009 | 2019-04-18 |
| 1548749674 | Kerry Humes | Internal Medicine | 1320 W Lombard St, Davenport, IA 52804-2029 | 2018-08-09 |
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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.