JAMES J COLLINS (NPI# 1811105331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811105331 |
Entity Type | Individual |
Full Name | JAMES J COLLINS |
Credential | MD, PHD |
Practice Address |
1965 S Fremont Ave Ste 130 Springfield MO 65804-2252 |
Practice Telephone | 4178209055 |
Mailing Telephone | 4178209055 |
Enumeration Date | 2007-05-18 |
Last Update Date | 2020-07-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
2012031772 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | TRICARE | 431560263 | 01 |
MO | 1811105331 | 05 | |
AR | 195707001 | 05 | |
OK | 200485940 A | 05 | |
MO | RR MCR | P01128071 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093212227 | James George Collins | Registered Nurse | 5343 Aspen Rd, Princeton, MN 55371-6064 | 2018-04-13 |
1538400775 | James Steffan Collins IIi | Counselor | 1410 Crain Hwy N Ste 5b, Glen Burnie, MD 21061-9304 | 2013-03-13 |
1861650343 | James Gabriel Collins | Family Medicine | 13425 Hoover Creek Blvd, Ste 100, Charlotte, NC 28273-0054 | 2008-05-30 |
1740478585 | James Christopher Collins | Counselor | 1673 Lakewood Dr, The Villages, FL 32162-2278 | 2007-10-05 |
1659405777 | James E. Collins | Dentist | 759 Martin Luther King Jr Dr Nw, Suite 200, Atlanta, GA 30314-4153 | 2007-03-14 |
1053415299 | James Thomas Collins | General Practice | 5740 Ne 21st Rd, Fort Lauderdale, FL 33308-2566 | 2006-09-08 |
1285749697 | James Collins | Optometrist | 1004 S Business 61, Bowling Green, MO 63334-5226 | 2006-08-19 |
1871503953 | James M. Collins | Physical Therapist | 1490 Pantops Mountain Pl Ste 202, Charlottesville, VA 22911-4601 | 2006-08-09 |
1215941752 | James Richard Collins | Dentist | 430 Boston Street, Topsfield, MA 01983 | 2006-07-28 |
1548200496 | James Collins | Nurse Practitioner | 2345 Meadowbrook Dr., Lutz, FL 33558 | 2006-06-08 |
Street Address |
1965 S FREMONT AVE STE 130 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65804-2252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972537132 | Alan M. Scarrow | Neurological Surgery | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2006-07-11 |
1750428959 | Amanda Grace Vance | Nurse Practitioner | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2007-01-30 |
1962420547 | Jason A. Glenn | Physician Assistant | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
Find all providers in zip 65804 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205810082 | Michael R Pranzatelli | Psychiatry & Neurology | Southern Illinois University Healthcare Administration, Springfield, IL 62794 | 2005-12-05 |
1619382645 | Dusit Adstamongkonkul | Psychiatry & Neurology | 1000 E Primrose St Ste 200, Springfield, MO 65807 | 2014-06-28 |
1700146792 | Adam J David | Psychiatry & Neurology | 50 Wason Avenue, Springfield, MA 01107-1274 | 2012-05-23 |
1619289311 | Jacqueline A. Hauer | Psychiatry & Neurology | 1965 S Fremont Ave, Suite 130, Springfield, MO 65804-2201 | 2010-07-10 |
1023246600 | Jeffrey Russell Frank | Psychiatry & Neurology | 1 Hayden Bridge Way, Springfield, OR 97477-9747 | 2009-06-23 |
1366562159 | David C Dredge | Psychiatry & Neurology | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2007-03-29 |
1518058676 | Anthony H Jackson | Psychiatry & Neurology | 50 Wason Ave, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
1033200944 | Beth A. Rosen | Psychiatry & Neurology | 50 Wason Avenue, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
1255315065 | Theodore R Sunder | Psychiatry & Neurology | 421 N 9th St, Springfield, IL 62702-5317 | 2005-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356478705 | Robin Chanel Ryther | Psychiatry & Neurology | 1 Childrens Pl Ste D, Ste D, Saint Louis, MO 63110-1002 | 2007-02-27 |
1902992696 | David J Callahan | Psychiatry & Neurology | 13001 N Outer 40 Rd Ste 1a, Ste 1a, Chesterfield, MO 63017-5941 | 2006-10-04 |
1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
1538542329 | Benjamin Paul Kay | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz, 1st Fl, Pediatric Neurology, Saint Louis, MO 63110-1003 | 2015-06-30 |
1023499001 | Regina Lindsay Triplett | Psychiatry & Neurology | 1 Childrens Pl, 3s34, Saint Louis, MO 63110-1002 | 2015-06-15 |
1881034866 | Shannon Christine Agner | Psychiatry & Neurology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2013-07-05 |
1497195960 | Oleg V Lobanov | Psychiatry & Neurology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2013-06-28 |
1255776704 | Nitin C Patel Md LLC | Psychiatry & Neurology | 1100 Club Village Dr Ste 102, Columbia, MO 65203-4411 | 2013-05-09 |
1497199640 | Keisuke Ueda | Psychiatry & Neurology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2013-04-18 |
1780028043 | Lindsay Peglar | Psychiatry & Neurology | 1 Childrens Place, Suite 2d, St. Louis, MO 63110 | 2013-04-17 |
Find all providers with the same taxonomy |
City | SPRINGFIELD |
Zip Code | 65804 |
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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.