NANCY COLLAZO (NPI# 1629273339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629273339 |
Entity Type | Individual |
Full Name | NANCY COLLAZO |
Credential | M.D. |
Practice Address |
9 Nw Shelter Lake Drive Lawton OK 73505-3739 |
Mailing Address |
9 Nw Shelter Lake Dr Lawton OK 73505-3739 |
Practice Telephone | 3373567592 |
Mailing Telephone | 3373567592 |
Enumeration Date | 2007-06-20 |
Last Update Date | 2011-11-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
11352 | PR | Allopathic & Osteopathic Physicians |
Street Address |
9 NW SHELTER LAKE DRIVE |
City | LAWTON |
State | OK |
Zip Code | 73505-3739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134186737 | James Richard Marshall | Pediatrics | 3811 W Gore Blvd, Ste 6, Lawton, OK 73505-6328 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417390675 | Elizabeth Jane Sager | Pediatrics | 1908 Ruidosa Dr, Edmond, OK 73034-6846 | 2013-04-08 |
1962762948 | Erynn Marie Bergner | Pediatrics | 1200 Everett Dr # 7504, Oklahoma City, OK 73104-5047 | 2012-05-23 |
1235497678 | Catherine Carol Milner | Pediatrics | 6151 S Yale Ave # Levelb, Tulsa, OK 74136-1907 | 2012-04-23 |
1346459443 | Vernon Soruix Smith | Pediatrics | 15255 E. 600 Rd, Inola, OK 74036-1213 | 2007-05-22 |
1790853067 | Julie Denise Watson | Pediatrics | 3300 Nw Expwy, 4th Floor Nicu, Oklahoma City, OK 73112-4418 | 2006-12-02 |
1669472601 | Rajagopal R Nandyal | Pediatrics | O.u. Medical Center, 1200 Everett Dr, 7th Floor, North Pavilion, Oklahoma City, OK 73104 | 2005-07-29 |
1043219603 | Kimberly Dawn Ernst | Pediatrics | 1200 Everett Dr, 7th Floor North Pavilion, Div of Neonatology, Oklahoma City, OK 73104-5047 | 2005-07-17 |
1740286848 | Lisa Owens | Pediatrics | 2502 Woodward Blvd, Tulsa, OK 74114-2634 | 2005-06-23 |
1699383463 | Integris Bass Baptist Health Center | Pediatrics | 600 S Monroe St, Enid, OK 73701-7211 | 2020-07-17 |
1629626536 | Catherine Marie Bryant | Pediatrics | St Francis Hospital, 6161 S. Yale, Tulsa, OK 74136 | 2019-09-04 |
Find all providers with the same taxonomy |
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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.