NANCY COLLAZO


Address: 9 Nw Shelter Lake Drive, Lawton, OK 73505-3739
Phone: 3373567592

NANCY COLLAZO (NPI# 1629273339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
11352 PR Allopathic & Osteopathic Physicians

Office Location

Street Address 9 NW SHELTER LAKE DRIVE
City LAWTON
State OK
Zip Code 73505-3739

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134186737 James Richard Marshall Pediatrics 3811 W Gore Blvd, Ste 6, Lawton, OK 73505-6328 2006-04-27

Providers in the same taxonomy and state

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
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Competitor

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City LAWTON
Zip Code 73505

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Dataset Information

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.

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