DR. JESS DAVID COLLINS (NPI# 1568400356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568400356 |
| Entity Type | Individual |
| Full Name | DR. JESS DAVID COLLINS |
| Credential | MD |
| Practice Address |
300 University Blvd Round Rock TX 78665-1032 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 5125090100 |
| Mailing Telephone | 2547248800 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
S7409 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
260870-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
260870-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
260870-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03336298 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Market St Fl 12, Philadelphia, PA 191022152 | 2156655612 | 8665812012 |
| 221 River St Ste 9, Hoboken, NJ 070305990 | 2017218740 | 8665812012 |
| 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 5182584033 | 8665812012 |
| Street Address |
300 UNIVERSITY BLVD |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933718 | Sherard T. Houston | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2005-06-21 |
| 1053957084 | Leanna Zimmerman | Registered Nurse | 300 University Blvd, Round Rock, TX 78665-1032 | 2019-11-25 |
| 1053805069 | Scott & White Hospital - Round Rock | Durable Medical Equipment & Medical Supplies | 300 University Blvd, Bldg A, 2nd Floor, Round Rock, TX 78665 | 2018-06-22 |
| 1083119663 | Sangeetha Mariappan | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Round Rock, TX 78665-1032 | 2018-03-27 |
| 1891299806 | Stephen Fuentes | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Round Rock, TX 78665-1032 | 2018-03-23 |
| 1427552579 | Nicole Catherine Ryman | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Round Rock, TX 78665-1032 | 2018-03-22 |
| 1023512019 | Sean Daniel Motl | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Baylor Scott & White Medical Center, Round Rock, TX 78665 | 2018-03-22 |
| 1992209126 | Jennifer Nielsen Fan | Student in an Organized Health Care Education/Training Program | 300 University Blvd, Baylor Scott & White Medical Center, Round Rock, TX 78665-1032 | 2018-03-21 |
| 1679089866 | Keren Aviv Stick | Physician Assistant | 300 University Blvd, Round Rock, TX 78665-1032 | 2017-12-25 |
| 1043735467 | Carly Guerrero | Physical Therapist | 300 University Blvd, Round Rock, TX 78665-1032 | 2017-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720138274 | Branaven Mahadeva | Psychiatry & Neurology | 300 University Blvd., Scott & White Healthcare - Round Rock, Round Rock, TX 78665-1032 | 2007-01-10 |
| 1710959762 | Terry Scott Peery | Psychiatry & Neurology | 16040 Park Valley Drive, Bldg B-100, Round Rock, TX 78681-3573 | 2006-02-03 |
| 1326275033 | Alexandra Christine Boske | Psychiatry & Neurology | 2400 Round Rock Ave, Round Rock, TX 78681-4004 | 2009-06-19 |
| 1538320908 | Danijela Levacic | Psychiatry & Neurology | 300 University Blvd Bldg A, Round Rock, TX 78665-1032 | 2008-06-18 |
| 1154533743 | Elizabeth Lynn Ulrich Peckham | Psychiatry & Neurology | 16040 Park Valley Dr, Building B, Suite 100, Round Rock, TX 78681-3578 | 2007-05-04 |
| 1003878562 | Jeffrey Jasper Tramonte | Psychiatry & Neurology | 300 University Blvd Bldg A, Round Rock, TX 78665 | 2006-04-03 |
| 1427029651 | Justin X Mussomeli | Psychiatry & Neurology | 300 University Blvd Bldg A, Round Rock, TX 78665 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
| 1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
| 1184247371 | Integris Neuro Group LLC | Psychiatry & Neurology | 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 | 2020-05-21 |
| 1265055685 | Schweta Parag Rane | Psychiatry & Neurology | 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 | 2020-05-20 |
| 1477175214 | Vijaya Lakshmi Valaparla | Psychiatry & Neurology | Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 | 2020-05-14 |
| 1548895386 | Robert William Bastien | Psychiatry & Neurology | 602 Catalina Cove Ln, La Marque, TX 77568-6577 | 2020-03-11 |
| 1740823772 | Epilepsy and Neurology Care Specialists Pllc | Psychiatry & Neurology | 2406 Stirling Ave, Edinburg, TX 78539-2706 | 2019-10-22 |
| 1235797226 | Apollo Monitoring Services, LLC | Psychiatry & Neurology | 1100 Glade Rd, Colleyville, TX 76034-4227 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
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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.