JEFFREY M COLLINS (NPI# 1710953583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710953583 |
| Entity Type | Individual |
| Full Name | JEFFREY M COLLINS |
| Practice Address |
825 Main St Plain WI 53577-9668 |
| Practice Telephone | 6085464211 |
| Mailing Telephone | 6085464211 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-02-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 40101 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32603600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851920698 | Jeffrey Norris Collins | Student in an Organized Health Care Education/Training Program | Msc 09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-03 |
| 1457876179 | Jeffrey P Collins | Registered Nurse | 18 Ely Dr, Fayetteville, NY 13066-1002 | 2017-08-03 |
| 1174942403 | Jeffrey W Collins | Dermatology | 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 | 2014-04-15 |
| 1437493384 | Jeffrey Collins | Behavioral Analyst | 8250 N Grand Canyon Dr, Las Vegas, NV 89166-3725 | 2012-11-15 |
| 1770600926 | Jeffrey M Collins | Dentist | 1054 Camellia Ct, Minden, NV 89423-5140 | 2007-03-23 |
| 1699840025 | Jeffrey Paul Collins | Optometrist | 184 W 1st St, Georgetown, ID 83239 | 2006-11-21 |
| 1770506586 | Jeffrey William Collins | Chiropractor | 1772 W Golf Rd, Mt Prospect, IL 60056-4071 | 2006-07-25 |
| 1073503553 | Jeffrey T Collins | Psychiatry & Neurology | 281 Lane De Chantel, Port Townsend, WA 98368-9671 | 2005-10-25 |
| 1295731156 | Jeffrey Wade Collins | Optometrist | 127 Lynn Ave, Oxford, OH 45056-1548 | 2005-06-24 |
| 1740849256 | Jeffrey Scott Collins | Dentist | 34011b Us Highway 280, Childersburg, AL 35044-2128 | 2019-06-08 |
| Street Address |
825 MAIN ST |
| City | PLAIN |
| State | WI |
| Zip Code | 53577-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548566391 | Agnes M Kanikula | Physician Assistant | 825 Main St, Plain, WI 53577-9668 | 2011-01-26 |
| 1245206986 | Virginia L Wiggins | Physician Assistant | 825 Main St, Plain, WI 53577-9668 | 2006-02-23 |
| 1134194004 | Sauk Prairie Healthcare Inc | Clinic/Center | 825 Main St, Plain, WI 53577-9668 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073926671 | Nicole Ring | Licensed Practical Nurse | 1675 Honey Creek Circle, Plain, WI 53577 | 2014-06-11 |
| 1750609665 | Jeanne Patrice Clark | Registered Nurse | S 9466 Valley View Rd, Plain, WI 53577 | 2010-05-17 |
| 1568585735 | Plain Fire Emergency Protection District | Emergency Medical Technician, Basic | 1045 Cedar St., Plain, WI 53577 | 2007-04-10 |
| 1245340777 | Roger A Bussan | Dentist | 1260 Plainview Rd Box 53, Plain, WI 53577 | 2006-08-30 |
| 1992297550 | Brianne Louise Schwarz | Dentist | 1260 Plainview Rd, Plain, WI 53577 | 2018-05-30 |
| 1033188412 | Jennifer Ann Wagner | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2006-03-16 |
| 1043797913 | Kristen Roelke | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2018-07-24 |
| 1962855742 | Charity Leister | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2016-07-18 |
| 1770832560 | Marie R Johnson | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2012-09-07 |
| 1124387477 | Anne Marie Russell | Licensed Practical Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2012-05-07 |
| Find all providers in zip 53577 | ||||
| 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 |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| 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.