COLLIER HEALTH SERVICES INC (NPI# 1407061310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407061310 |
| Entity Type | Organization |
| Organization Name | COLLIER HEALTH SERVICES INC |
| Other Organization Name | CREEKSIDE PEDIATRICS |
| Practice Address |
1265 Creekside Pkwy Suite 208 Naples FL 34108-1936 |
| Practice Telephone | 2395911755 |
| Practice Fax Number | 2395914393 |
| Mailing Telephone | 2395911755 |
| Mailing Fax Number | 2395914393 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-04-05 |
| Authorized Official Name | SANDRA E STEELE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2396583003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 683955005 | 05 |
| Other Name | Type Code |
|---|---|
| Creekside Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073707741 | Collier Health Services Inc | Clinic/Center | 1749 Heritage Trl # 801, Naples, FL 34112-7591 | 2007-09-05 |
| 1952516866 | Collier Health Services Inc | Dentist | 5038 Coronado Pkwy, Naples, FL 34116-6950 | 2007-05-14 |
| 1851505200 | Collier Health Services Inc | Clinic/Center | 6350 Davis Blvd # 1001, Naples, FL 34104-5323 | 2007-05-09 |
| 1508079245 | Collier Health Services Inc | Clinic/Center | 508 N 9th St, Suite 142, Immokalee, FL 34142-3146 | 2007-05-08 |
| 1528271012 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-08 |
| 1679124010 | Collier Health Services Inc | General Practice | 12655 Collier Blvd, Naples, FL 34116-4005 | 2019-09-26 |
| 1174174783 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2019-09-25 |
| 1972158632 | Collier Health Services Inc | Pharmacy | 12655 Collier Blvd, Naples, FL 34116 | 2019-08-08 |
| 1063793214 | Collier Health Services Inc | Family Medicine | 1284 Creekside St, Suite #101, Naples, FL 34108-1949 | 2011-09-01 |
| 1376823922 | Collier Health Services Inc | Clinic/Center | 1284 Creekside St, Suite #101, Naples, FL 34108-1949 | 2011-08-26 |
| Street Address |
1265 CREEKSIDE PKWY SUITE 208 |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013926898 | Kim Shimoda | Psychologist | 1265 Creekside Pkwy, Ste 200, Naples, FL 34108-1954 | 2006-08-07 |
| 1386057362 | Variety Children's Hospital | Neurological Surgery | 1265 Creekside Pkwy, Suite 200, Naples, FL 34108-1946 | 2014-06-06 |
| 1316152226 | Collier Health Services Inc | Pediatrics | 1265 Creekside Pkwy, Suite 208, Naples, FL 34108-1946 | 2007-05-14 |
| 1235221607 | Rosemarie Anne Pezzullo | Pediatrics | 1265 Creekside Pkwy, Suite 208, Naples, FL 34108-1946 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255866513 | Collier Health Services, Inc | Clinic/Center | 1008 Goodlette Frank Rd, Ste 100, Naples, FL 34102-5406 | 2017-04-25 |
| 1689031049 | Collier Health Services, Inc | Clinic/Center | 5450 Ymca Rd, Naples, FL 34109-5944 | 2016-01-15 |
| 1467829424 | Collier Health Services, Inc | Clinic/Center | 2365 Stanford Ct, #701, Naples, FL 34112-4813 | 2015-08-26 |
| 1508270547 | Collier Health Service, Inc | Clinic/Center | 3339 Tamiami Trl E Ste 146, Naples, FL 34112-5361 | 2014-06-18 |
| 1851505200 | Collier Health Services Inc | Clinic/Center | 6350 Davis Blvd # 1001, Naples, FL 34104-5323 | 2007-05-09 |
| 1528271012 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-08 |
| 1659864411 | Collier Health Services, Inc | Clinic/Center | 1265 Creekside Pkwy Ste 206, Naples, FL 34108-1954 | 2018-06-07 |
| 1225575699 | Collier Health Services, Inc. | Clinic/Center | 6075 Bathey Ln, Naples, FL 34116-7536 | 2017-01-24 |
| 1164883179 | Collier Health Services, Inc | Clinic/Center | 4077 Tamiami Trl N, Naples, FL 34103-8737 | 2016-03-18 |
| 1780078998 | Collier Health Services, Inc | Clinic/Center | 1890 Sw Health Pkwy, Suite 203, Naples, FL 34109-0473 | 2015-03-25 |
| Find all providers in NAPLES | ||||
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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.