JOSEPHINE F COLLACO MD LLC (NPI# 1427316637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427316637 |
| Entity Type | Organization |
| Organization Name | JOSEPHINE F COLLACO MD LLC |
| Practice Address |
1050 Isaac Streets Dr Suite 104 Oregon OH 43616-3291 |
| Mailing Address |
7550 Lucerne Dr Suite 405 Middleburg Hts OH 44130-6503 |
| Practice Telephone | 4196984642 |
| Practice Fax Number | 4196988597 |
| Mailing Telephone | 8005566236 |
| Mailing Fax Number | 4402343313 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | MIKE POLO (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4402348833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35038665 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BLUE CROSS BLUE SHIELD | 000000162663 | 01 |
| Street Address |
1050 ISAAC STREETS DR SUITE 104 |
| City | OREGON |
| State | OH |
| Zip Code | 43616-3291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758643 | Gary B. Coleman | Otolaryngology | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2005-05-23 |
| 1023568342 | Kristen Leigh Minard | Nurse Practitioner | 1050 Isaac Streets Dr, Suite 143, Oregon, OH 43616-3291 | 2016-10-11 |
| 1083018501 | Liesa A Davis | Nurse Practitioner | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2014-10-13 |
| 1851708085 | Dr. Ishrat Husain LLC | Clinic/Center | 1050 Isaac Streets Dr, Suite 102, Oregon, OH 43616-3291 | 2014-07-21 |
| 1356771778 | Gisella Oliver | Physician Assistant | 1050 Isaac Streets Dr, Suite 106, Oregon, OH 43616-3291 | 2013-11-21 |
| 1972891299 | Ashley Nicole Thomasson | Nurse Practitioner | 1050 Isaac Streets Dr, Suite 106, Oregon, OH 43616-3291 | 2011-07-20 |
| 1649593328 | E.n.t. Physicians Inc. | Hearing Aid Equipment | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2010-03-09 |
| 1013140169 | Colleen K Smith | Audiologist | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2009-08-24 |
| 1053583989 | Carissa R. Kunkel | Audiologist | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2008-04-01 |
| 1609048420 | Dawn M. Peterson | Audiologist | 1050 Isaac Streets Dr, Suite 137, Oregon, OH 43616-3291 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1336503507 | Ashley Vespie | Family Medicine | 2735 Navarre Ave Ste 101, Oregon, OH 43616-3275 | 2016-04-13 |
| 1881983195 | Maria Luisa S Cuevas Md Inc | Family Medicine | 1050 Issac Sts, Suite 104, Oregon, OH 43616-3291 | 2011-04-07 |
| 1316065998 | Allison Lucille Dollman | Family Medicine | 2702 Navarre Ave Ste 302, Oregon, OH 43616-3224 | 2007-03-26 |
| 1457496481 | Community Medical Center, Inc. | Family Medicine | 101 So. Washington St., Oregon, MO 64473 | 2007-02-20 |
| 1609886258 | Northwest Ohio Primary Care Physicians, Inc. | Family Medicine | 3458 Navarre Ave, Oregon, OH 43616-3447 | 2006-08-08 |
| 1407898679 | Surendra Kumar | Family Medicine | 3929 Navarre Ave, Oregon, OH 43616-3437 | 2006-06-12 |
| 1740220086 | Annette Rose Millie | Family Medicine | 831 S Wynn Rd, Oregon, OH 43616-3527 | 2006-06-07 |
| 1306899000 | Paul D Smith | Family Medicine | 2209 Southview Rd, Oregon, WI 53575-2237 | 2006-05-17 |
| 1023079324 | Marie L Roethlisberger | Family Medicine | 5212 County Highway M, Oregon, WI 53575-0140 | 2006-03-28 |
| Find all providers in OREGON | ||||
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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.