KELLY COLLINS (NPI# 1831489442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831489442 |
| Entity Type | Individual |
| Full Name | KELLY COLLINS |
| Credential | MD |
| Practice Address |
4401 Penn Ave Fl 4 Pittsburgh PA 15224-1334 |
| Mailing Address |
7559 30th Ave Ne Seattle WA 98115-4719 |
| Practice Telephone | 4126925090 |
| Mailing Telephone | 4122600894 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ML60218823 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE MEDICAL LICENSE | MD60581884 | 01 |
| WA | WASHINGTON DEA LICENSE | FC7570840 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 325 9th Ave, Box 359924, Seattle, WA 98104 | 2067449316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050997 | Kelly Collins | Specialist | 3923 S 10th Ave, Caldwell, ID 83605-6762 | 2018-01-04 |
| 1386193779 | Kelly Collins | Counselor | 4221 S Mlk Blvd, Lansing, MI 48910-5201 | 2016-09-26 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1003171711 | Kelly Michelle Collins | Counselor | 15803 Ne 23rd St # B, Choctaw, OK 73020-8428 | 2012-07-09 |
| 1093027690 | Kelly Collins | Occupational Therapist | 1378 Highland Village Dr, Apt 24, Duluth, MN 55811-5274 | 2010-07-12 |
| 1073682647 | Kelly S Collins | Social Worker | 130 E 101st St, New York, NY 10029-6106 | 2006-11-07 |
| 1972555258 | Kelly Denene Gonzales Collins | Family Medicine | 2211 Capehart Rd, Suite 104, Bellevue, NE 68123-2121 | 2006-05-16 |
| 1801361019 | Kelly Anne Collins | Nurse Practitioner | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2018-10-04 |
| 1811477367 | Kelly Lynn Collins | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2018-08-15 |
| 1568958999 | Kelly Christine Collins | Occupational Therapy Assistant | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2018-07-09 |
| Street Address |
4401 PENN AVE FL 4 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15224-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225059462 | Patrick Peter Bosch | Orthopaedic Surgery | 4401 Penn Ave Fl 4, Children's Hospital of Pittsburgh of Upmc, Pittsburgh, PA 15224-1334 | 2006-07-22 |
| 1891082764 | Rod Ghassemzadeh | Pediatrics | 4401 Penn Ave Fl 4, Pittsburgh, PA 15224-1334 | 2011-06-29 |
| 1033402243 | Alejandro Jose Lopez-magallon | Pediatrics | 4401 Penn Ave Fl 4, Pittsburgh, PA 15224-1334 | 2011-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618289 | Jessica Reyes Angel | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Children's Hospital of Pittsburgh, Pittsburgh, PA 15224 | 2018-11-21 |
| 1497239131 | Tal Levin-decanini | Nurse Practitioner | Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 | 2018-09-19 |
| 1649750951 | Mario Castro Medina | Transplant Surgery | Upmc Childrens Hospital of Pittsburgh, 4401 Penn Avenue Faculty Pavillion 5th Floor, Pittsburgh, PA 15224 | 2018-08-16 |
| 1245745785 | Ericka Blake Lias | Pediatrics | Children's Hospital of Pittsburgh of Upmc, 4401 Penn Ave, Pittsburgh, PA 15224 | 2017-12-06 |
| 1316463904 | Olivia Graham | Speech-Language Pathologist | 4414 Woolslayer Way, Pittsburgh, PA 15224 | 2017-08-16 |
| 1821525437 | Megan Eileen Gunsaulus | Pediatrics | Upmc Pittsburgh One Childrens Hospital Drive, 4401 Penn Avenue 5th Floor Faculty Pavillion, Pittsburgh, PA 15224 | 2017-05-12 |
| 1336593771 | Matthew Shao-lin Wong | Student in an Organized Health Care Education/Training Program | 4401 Penn Avenue Suite 3300, Pittsburgh, PA 15224 | 2016-04-22 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1518348705 | Montserrat Antonieta Corbera-hincapie | Pediatrics | Rangos Research Center, 4401 Penn Avenue, 7th Floor Children's Hospital of Pitt, Pittsburgh, PA 15224 | 2015-06-12 |
| 1497136782 | Christopher Thomas Stem | Pediatrics | Division of Pediatric Emergency Medicine, Children's Ho, 4401 Penn Avenue, Aob 2nd Floor Suite 2400, Pittsburgh, PA 15224 | 2015-06-12 |
| Find all providers in zip 15224 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144666348 | Sean Patrick Polster | Neurological Surgery | 203 Lothrop St Ste 521, Pittsburgh, PA 15213-2548 | 2013-05-14 |
| 1053674689 | Pascal Olivier Zinn | Neurological Surgery | 5150 Centre Ave Ste 433, Pittsburgh, PA 15232-1309 | 2012-06-19 |
| 1043543630 | Robert Love Baker | Neurological Surgery | 521fairview Road, Pittsburgh, PA 15238-1701 | 2009-09-14 |
| 1467629444 | Jorge Gonzalez-martinez | Neurological Surgery | 200 Lothrop St Ste A402, Pittsburgh, PA 15213-2536 | 2008-05-09 |
| 1639386808 | David K Hamilton | Neurological Surgery | 200 Lothrop St Ste B-400, Pittsburgh, PA 15213-2536 | 2007-05-17 |
| 1700879392 | Bruce Wilder | Neurological Surgery | 436 Seventh Ave, Suite 1050, Pittsburgh, PA 15219-1826 | 2005-08-30 |
| 1386645307 | Hae-dong Jho | Neurological Surgery | 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 | 2005-08-02 |
| 1184624850 | Bennett Blumenkopf | Neurological Surgery | 420 E North Ave, Suite 302 Agh Neurosurgery, Pittsburgh, PA 15212-4746 | 2005-07-26 |
| 1255331062 | James E Burgess | Neurological Surgery | 4815 Liberty Ave Ste 437, Pittsburgh, PA 15224-2156 | 2005-07-22 |
| 1265430755 | Howard J Senter | Neurological Surgery | 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224-2156 | 2005-07-08 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15224 |
Please comment or provide details below to improve the information on KELLY COLLINS.
| 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.